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HomeMy WebLinkAbout2802 CARLSBAD BLVD; ; CB980699; PermitBUILDING PERMIT 03/05/98 16:30 Page 1 of 1 Job Address: 2802 CARLSBAD BL Suite: Permit Type: SIGN Parcel No: 203-173-01-00 Lot#: Valuation: 500 Occupancy Group: Reference*: Description: FREESTANDING SIGN NON ILUM Permit No: CB980699 Project No: A9800909 Development No: 1 ISSUJB1QG Applied: 03/05/98 Apr/Issue: 03/05/98 Entered By: JM Appl/Ownr : GRIGORAS LUVIK 2802 CARLSBAD BLVD CARLSBAD CA 92009 *** Fees Required *** Fees : Adjustments: Total Fees: Fee description 760 439-1887 Collected & Credits Building Permit Plan Check * SIGN TOTAL S : it ** * .00 .00 25 . 00 Ext fee Data 15.00 10.00 25.00 RMIT CORD ANCE WITH UI& SIGNATURE. FINAL APPROVAL INSP. DATE CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad CA 92009(760)438-11611.FOR OFFICE USE ONLPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated ByDateAddress (indude Bldg/Suit* 9 I Busmen Neme Ut this address)Legal Description Let No.Subdivision Nanw/Numbsr Urn No.Phase No.Total * of unitsAssessor'sfjrcel *Proposed Uss_1 > Description of Worka. CONTACT PERSON UfdWerent** of Bsthroomc Nsms 3, APPLICANT Contnotor Address City Agent for Contractor "' Q Ownier7 f:D Agent for' Owner State/Zip Telephone f Faxf Addrsss State/Zip Tslsphons * Naffie S. CONTRACTOR - COMPA (Sec. 7031.5 Business and Professions Cods: Any City or County whteh requires a permit to construct, sttsr, imprevs, demolish or repair any structure, prior to Its issuance, slso requires the sppKcsnt tor such permit to file s signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commanding with Section 7000 of Division 3 of the Business end Professions Cods) or thst he is exempt therefrom, and the bssis for the eHsged exemption. Any violation of Section 7031.5 by any applicant for a permit sublets the applicant to a ctvil penalty of not more than five hundred dollars 1*5001). Nam* State License 9 Ossignsr Nsms Ststs Licenss * Address License Class Address City State/Zip Cltv Business License f City State/Zip Telephone f Telephone 6. WORKERS' COMPENSATION " ' ' ...... " ..... ~ ----..- ...... - ..... ----- 7— •.--r^'— r .^-^-^ •"" ". • v ; - • • . Workers' Compensation Declaration: t hereby affirm under penalty of perjury ens of the following dadsretions: Q I have and wfll maimed a certificate of coneant to serf-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. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit te issued. My worker's compensation insurance cerrisr and policy number are: Insurance Company _ Pokey No. _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT » FOR ONE HUNDRED DOLLARS ($1001 OR IMS) O CERTIFICATE OF EXEMPTION: I certify thst In the performance of the work for which this permit is Issued, I shaH not employ any person In any manner so as to become subject to the Workers' Compensation Laws of CaKfomls. WARNING: Fanure to secure workers' compensation coverage to unlawful, and ahal subject an employer to erindnat panaWaa and CM Unas up to one hundred thousand dollars (S 100.000), hi addition to the cost of companaatien. damages a* provided lor In Section 370B off the Labor code, (ntsraet and attorney's fees. SIGNATURE DATE '7. OWNER-BUILDER DECLARATION " ' " ~~' " '' "" " ". " "i ; V^^y • ro I hereby sf firm that I am exempt from the Contractor's License Law for the following reason: OJ I, ss owner of the property or my employees with wagaa aa their sola compensation, wW do the work and the structure la not intended or offered for sals fssc. 7044, Business and Professions Coda: The Comractor'a Uosnsa Law does not apply to an owner of property who buHda or Improvaa thereon, and who does such work himself or through his own employees, provided that such Improvements art not Intended or offered tor sate. If , however, the bunding or Improvement la sold within one year of completion, the owner-bunder wNl have the burden of proving that ha did not buM or Improve tor the purpoaa of sals). g[ I, as owner of the property, am exctusfvsty contracting wWi licensed contractors to construct the project (Sac. 7044, Busman and Professions Code: The ontrsctor's License Law does not apply to an owner of property who buttda or improves thereon, and contracts tor such project* with contractorla) licensed pursuant to the Contractor's Ucsnse Law). D < *ni axampt under Section . Business and Professions Coda for this reason: 1 . I personally plan to provide the msjor tabor and materials for construction of the proposed property Improvement. Ef YES QW) 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors Kcenee number): 4. I plan to provide portions of th» work, but I hava hired the number / contractors license number): 5. I will provide some of ths work, but I hava of'work): Iwfojtowiing parson to coordinate, supanriaa and provtde ths major won Undue* name / address / phone the following parsons to provide the work Indicated onehida ISMTM / addraas / phom numbar / typa PROPERTY OWNER SIGNATURE COMPLETE THIS SECTrOW FOR Is the eppHcant or future buHding^oeeupanysuirad 2S rsubmrt a business plan, acutely hazardous materials registration form or riak management ai program under Sections 26605, 25633 or iS834 of ths Presley Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future buHdlng occupant required to obtain a permit from the air pdhmen control district or air quality management district? Q YES Q NO Is thsfscility to be constructed within 1,000 feet of the outer boundary of a school she? D YES Q NO IF ANY OF THE ANSWERS ARE YES. A FMAL CERTKCATE OF OCCUPANCY MAY NOT BE ISSUH> UNLESS THE APPUfMlfT HAS MET OR IS MEFHW3 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that than Is s construction lendmg agency tor the performance of the work for which this permit is issued (Sec. 3097(1) CJvfl Code). LENDER'S NAME LENDER'S ADDRESS », APPLICANT CERTIFICATION -~ -—~-™^r^^rr^^^n^^-,,^^^^,^-^-^ I certify that I have read the application and stste that the above information is correct and that the Information on the plans Is accurate. I egree to comply with all City ordinsnces end State laws relating to budding construction. I hereby authorize representative! of the CrtV of Carlsbad to enter upon the ebove mentioned . , | ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND EXPENSES WHICH MAY M ANY WAY ACCRUE AGAINST SAID CtTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0' deep end demolition or construction of structures over 3 atones in height. EXPIRATION: Every permit issusd by the Budding QrfJc^ under ths provisions of this Cede shaH expire by limitation and become null and void if the building or work authored by such permit is not com^fe^a*whMn 365 days from the date of such permit or If the buHding or work authorized by such permit Is suspended or abandoned st sny time after the worfc^copifnooeM for s period of 180 dsys (Section 106.4.4 Uniform BuHding Code) ^APPLICANT'S SIGNATURE ^Zi DATE WHITE: FHe YELLOW: Applicant PINK: Flnence UNSCHEDULED BUILDING INSPECTION DATE SxgQlS. INSPECTOR PERMIT # CQ PLAN CHECK* JOB ADDRESS 3J%£>^ DESCRIPTION TIME ARRIVE: TIME JWdb no onse- CODE DESCRIPTION ACT COMMENTS CY CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980699 FOR 03/24/98 DESCRIPTION: FREESTANDING SIGN NON ILUM TYPE: SIGN JOB ADDRESS: 2802 CARLSBAD BL APPLICANT: GRIGORAS LUVIK CONTRACTOR: OWNER: REMARKS: C/ SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK* CB980699 OCC GRP CONSTR. TYPE NEW STE: /^ LOT: 760 439-181 INSPECTOR TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 38 EL Signs PERMIT* TYPE CB940857 MISC STATUS EXPIRED ACT COMMENTS/ (tdn ***** INSPECTION HISTORY ***** DATE DESCRIPTION 032398 Signs ACT INSP NS PK COMMENTS RESET FOR TUBS CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE {760)438-3550 2075 LAS PALM AS DRIVE LOCATION PERMIT NO. "ML FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE? FOR FURTHEB^FOi8#ATIQN, CONTACT , Ar &SZ^ YES PHONE CODE ENFORCEM6MT OTPiCER