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Home My WebLink About2011 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; CB131144; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-07-2013 Sign Permit Permit No: CB131144 Building Inspection Request Line (760) 602-2725 Job Address 2011 PALOMAR AIRPORT RD CBAD St. 108 Permit Type- SIGN Status. ISSUED Parcel No: 2130612600 Lot #: 0 Applied 05/07/2013 Valuation $4,00000 Construction Type: NEW Entered By. RMA Reference # Plan Approved. 05/07/2013 PC #- Issued 05/07/2013 Project Title: CENTURY 21- NEW SIGN-ILLUMINAT Inspect Area: Applicant: Owner: WESTERN SIGN & AWNING P T CARLSBAD ASSOCIATES DBA STANFORD SIGN & AWNING C/O GENERAL PROP MGNT 261 5 PACIFIC ST 9285 DOWDY DR #101 SAN MARCOS CA 92078 SAN DIEGO CA 92126 760 736 6070 Building Permit $68.07 Add'l Building Permit Fee $000 Plan Check $4765 AddI Plan Check Fee $0.00 Electrical Fee $000 Renewal Fee $0.00 AddI Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $000 TOTAL PERMIT FEES $11572 Total Fees: $115.72 Total Payments To Date. $115.72 Balance Due: $0.00 FINAL APPROVAL Inspector P11 LO1iML Date 111 04/d'5 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any CITY OF <K0 > Building Permit Application 760-602-2717 /2718/2719 Plan Check No. C,~ Est. Value DI.. fI, flrn.I4 CARLSBAD Fax 760-602-8558 www.carlsbadca.gov (, _1-I)ate - - 7 / / FSWPPP SUITEI ill /SPACE#/UNITC CT/PROJECT# JOB ADDRESS P 1 7[RIS-E-7 e. OF UN1S # BEDROOMS I of # BATHROOMS ENANT BUSINESS NAME Oil TYPE 0CC GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) tpI PATIOS _ EXISTING USE PROPOSED USE GARAGE (SF) (SF) DECKS (SF) IFREPLACE I YES NOJ I AIR CONDFTIONING YES I FIRE SPRINKLERS YESNOE APPLICANT NAME (Primary Contact) TIFFANY DEL GATTO APPLICANT NAME (Secondary Contact) Del kyt(-k ADDRESS SAME AS CONTRACTOR ADDRESS 3anao= eoitYacO?_(-7r3&'\.zzq 51q3 CITY STATE ZIP .I CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME _____________________________ CONTRACTOR BUS. NAME WEST ERN SIGN & AWNING ADDRESS ADDRESS 261 S. PACIFIC ST. CITY STATE ZIP CITY STATE ZIP SAN MARCOS CA 92078 PHONE FAX PHONE 760-736-6070 IFAX I 760-736-6073 EMAIL EMAIL tiffany(westrnsign.com ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC it 863570 I CLASS I C45 ICITY BUS. LiC.# I 1224629 (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 Contractors License Law (Chapter 9, commending 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)). z.I r R S' C O MP EN SATION Workers' Compensation Declaration' I hereby affirm under penalty of perjury one of the Mowing 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, an mouired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i su nce camer and policy number are.Insurance Co_1IJ In (chf Are _________ Policy No 72 VIJ E lO.2xpiration Date _ fij 14- 4 Thi section need not be completed if the permit is for one hundred dollars ($100) or less. 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 manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compensation, da mided for In ctlon 3706 of the Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE [Z] AGENT DATE 51 prong IL 'I ': I , p . • I hereby affirm that! am exempt from Confracfo,s License Law for the Mowing mason [] 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). [J 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). 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. DYes [:]No 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! 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! contractors' license number) 5 I will provide some of the work, butt have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work) ,gPROPERTY OWNER SIGNATURE []AGENT DATE O r t. 'fl ,iI1Tti1 Li R IVI ITIS ONLY, Is the applicant or future building occupant required to submit a business pla 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? Yes No Is the applicant or future building occupant required to obtain a permit froFif the 'air control district or air qua ty management district? Yes Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UICLESS 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 this permit is issued (Sec 3097 (i) Civil Code). Lenders Name Lender's Address Ar IcertifythatI have read the application and state thatthe above Information tandthatthe information on the plans. lsaccumte. l agree tocomplywithall Cfryoidinances and State laws relating to bulldlngconstnjthon. I hereby authorize representative 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 AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFThE GRANTING OF THIS PERM IT OSHA An OSHA permit is required for excavations over 5' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit issued by the Build Official under the provisions of this Code shall expire by limitation and become null and nod if the building or work authorized by such permit is not commenced within 180 days fiom the date of such penretorifthe r thodzedbysuch permit s suspended or abandoned al any time after the work iss commencedfor apenodofl8o days 'Section 10044 Urxbm Building Code) .€cAPPLICANT'S SIGNATURE y /) DATE 5 17 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CE RTI FICATE• Fax (760) 602-8560, Email www.buildingcarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 r0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On pg 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB CONTRACTOR (On P. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION .APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB131144 Type: SIGN CENTURY 2I- NEW SIGN-ILLUMINAT D!_ Inspection Item Inspector Act Comments 11/01/2013 19 Final Structural - RI 11/01/2013 19 Final Structural MC Fl NO ELECTRICAL TO SIGN. Monday, November 04, 2013 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-25-2012 Sign Permit Permit No: CB120762 Building Inspection Request Line (760) 602-2725 Job Address: 2011 PALOMAR AIRPORT RD CBAD St: 305 Permit Type: SIGN Status: ISSUED Parcel No: 2130612600 Lot #: 0 Applied: 04/25/2012 Valuation: $2,000.00 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 04/25/2012 PC #: Issued: 04/25/2012 Project Title: PURE WELLNESS- INSTALL ONE Inspect Area: NON=ILLUM WALL SIGN Applicant: Owner: WESTERN SIGN & AWNING P T CARLSBAD ASSOCIATES DBA STANFORD SIGN & AWNING C/O MADISON SQ PROP INC 5414 OBERLIN DR #140 1020 LINDA VISTA DR 92078 SAN DIEGO CA 92121 760 736 6070 Building Permit $48.40 Add'I Building Permit Fee $0.00 Plan Check $33.88 Add'l Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'l Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $82.28 Total Fees: $82.28 Total Payments To Date: $82.28 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: // / ( v— Clearance: NOTICE Please lake NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/exactions? You have 90 days from the dale this permit was issued to protest imposition of these fees/exactions It 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any CITY OF CARLSBAD 760-602-2717 /2718/2719 I Plan Ck. Deposit Fax 760-602-8558 I www.carlsbadca.gov Date 4! 86 II Building Permit Application Plan Check No. i. -2-0? Est. Value c1 OO( JOB ADDRESS I SUITE#/SPACE#/UNITI I Iv-CC , -o CT/PROJECT # LOT C IPHASE# # UF UNITS # BEDROOMS C BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I I 0CC GROUP I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ooe vor' y -cdeGt. Jatt 'L 1-70 porWet1iieS. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE AIR CONDITIONING f YESjlf NO[—]YES I DNOJ IFIRESPRINKLERS YESD WOE APPLICANT NAME (Primary Contact) TIFFANY DEL GATTO APPLICANT NAME (Secondary Contact) ADDRESS SAME AS CONTRACTOR ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME 3T Ci.v (€XJck&#sOaLd- CONTRACTOR BUS. NAME WESTERN SIGN & AWNING ADDRESS NI L\ Da .. ADDRESS 261 S. PACIFIC ST. CITY %Q TZ1 2a \,..TATE CITY STATE ZIP SAN MARCOS CA 92078 PHONE 5ifl (_0C k6()1 FAX PHONE 760-736-6070 'FAX 760-736-6073 EMAIL EMAIL ________________ tiffany(westrnsign.com ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC C CLASS I CITY BUS LIC C 863570 C45 1224629 I I (Sec. 70315 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 jChapter 9. commending 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)). Workers' Compensation Declaration. I hereby affirm under penalty of peijuiy 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 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance camer and policy number are. Insurance Co CYPRESS INSURANCE Policy No. 3300055105.421 Expiration Date $1.13 Thi section need not be completed it the permit is for one hundred dollars ($100) or less. n 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 manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damagea as p id for in o 3716 of Labor code interest and attorney's fees. 106 11 CONTRACTOR SIGNATURE '-JAGENT DATE L/ 2. I hereby affirm thai lam exempt from Contra cto?s License Law for the following reason: [J 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 sate (Sec 7044, Business and Professions Code. The Contractor's License Law does not apply loan 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) [J 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 properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] 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 DYes [:]No 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! 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! contractors' license number) 5 I will provide some of the work, but I he ntracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work). PROPERTY OWNER SIGNATURE ..... []AGENT DATE Is the applicant or future building occupant required to submit a business plai]Acutely hazardous materials registratiqn form or nsk management and prevention ;No gdcunder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes 7 No / Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air qu$tity management distnct' Yes Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes f 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 construction lending agency for the performance of the work this permit is issued (Sec 3097 (,) Civil Code). Lenders Name Lender's Address IceslifythatI have lead theapplicetion and state thatthe above information Is conectand thatthe lnfovmatlon on the plans is accurate. I agree to ceniptywlth all City ordinances and State laws relating to building construction. I hereby authorize representative 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An 061-IA permit is required for excavations over 50' deep and demolition orconstiuctron of skuctoresover3 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by Irutatron and become null and void if the building or work authorized by such permit is not commenced within 180 days from the dale ofsuch permit orif the buildIrorwortpulprized by such permit issuspendedorabandonedatanytimeaftertheworlciscommencedbrapenodof l8o days (Section 10644 Urnbm Building Code) .'APPLICANT'S SIGNATURE DATE W. STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CE RTIFICATE OF OCCUPANCY Corn m er'cial• Fax (760) 602-8560, Email www buildinacarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 r0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS Bus LIC No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) ASSOCIATED CB#_________________________ MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ..APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB120762 Type: SIGN PURE WELLNESS- INSTALL ONE NON=ILLUM WALL SIGN Date Inspection Item Inspector Act Comments 11/01/201238 Signs - RI CAN U FINAL PERMIT EXPIRES? 11/01/2012 38 Signs PD AP Friday, November 02, 2012 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-16-2011 Sign Permit Permit No: CB112431 Building Inspection Request Line (760) 602-2725 Job Address. 2011 PALOMAR AIRPORT RD CBAD Permit Type: SIGN Status: ISSUED Parcel No: 2130612600 Lot #: 0 Applied: 11/16/2011 Valuation: $1,500.00 Construction Type: NEW Entered By: JMA Reference #: Plan Approved: 11/16/2011 PC #. Issued: 11/16/2011 Project Title: FRESH START: NEW NON-ILLUM Inspect Area: SIGN Applicant: Owner: WESTERN SIGN & AWNING P T CARLSBAD ASSOCIATES DBA STANFORD SIGN & AWNING C/O MADISON SQ PROP INC 5414 OBERLIN DR #140 1020 LINDA VISTA DR 92078 SAN DIEGO CA 92121 760 736 6070 Building Permit . $37.75 Add'I Building Permit Fee $0.00 Plan Check $24.54 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $62.29 Total Fees: $62.29 Total Payments To Date: $62.29 Balance Due: $0.00 Inspector: 1" I)t,L FINAL APF7ROVAL I Date: _____________ Clearance: I NOTICE. Please take NOTICE that apfroval of your project includes the Imposition' of tees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. It 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 Caiibad 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 capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any I. - PIn flhk Nn ('R I I '2J4 I Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 CITY OF 760-602-2717/2718/2719 CARLSBAD Fax 760-602-8558 www.carlsbadca.gov - Est. Value Plan Ck. Deposit Date ( ( ( swppp I JOB ADDRESS qo ( XV ... ç SUITE#/SPACE#/UNIT# Io1 I APN I c? I 0(1)1 c(ç) CT/PROJECT# LOT# PHASE# #OFUMTS #BEDROOMS BATHROOMS BUSINESS N TENANT AME I ICONSTR 0CC GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) (') (x.'e nOn - ) thrn-)c( Et( c&ja. 'Si q (A EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE —[WW IYES# NOI —CONDITIONING YES ENO I FIRE SPRINKLERS YESD NOE CONTACT NAME (If Different Fom Applicant) CONTRACTOR APPLICANT NAME CONTRACTOR ADDRESS ADDRESS CITY STATE ZIP Cliv STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME 17(Ym L 4 CONTRACTOR BUS. NAME WESTERN SIGN AND AWNING ADDRESS ______________ ADDRESS 1020 LINDA VISTA DR CITY CITY STATE ZIP SAN MARCOS CA 92078 PHONE d5AX PHONE 760-736-6070 FAX 760-736-6073 EMAIL EMAIL tiffany(westrnsign.com ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE LiC.# 863570 CITY BUS. LiC C - I CLASS I 7- ll I C45 I 2.'- to 2? (Sec 7051 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, commending 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)). UCOMPIENSA T 1I 0 Workers' Compensation Declaration I hereby aff,nn under penalty of perjury one of the following declarations I have and will maintain 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 :certificate / I have and will maintain workers' comDensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance camer and policy number are. Insurance Co CYPRESS INSURANCE Policy No. 3300055155 Expiration Date 4-142 This section need not be completed if the permit is for one hundred dollars ($100) or less. IZICertificate 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 manner so as to become subject to the Workers' Compensation Laws of Sation coverage' awful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in California WARNING: Failure to secure workers'T id addition to the cost of compensation, damages as for 3 or code, Interestiiidattomey's fees. I £'CONTRACTOR SIGNATURE eAGENT DATE E.YUIr:IPIIUr,IIW.Ir Si. UiIliII (hereby affirm that lam exempt from Contractor's License Law for the following reason [J 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 dons 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). ],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). [] I am exempt under Section _____________Business and Professions Code for the reason I personally plan to provide the major labor and materials for construction of the proposed property improvement DYes IINo I (have! have not) signed an application for a building permit for the proposed work 31 have contracted with the following person (firm) to provide the proposed construction (include name address/phone! contractors' license number): 4 I plan to provide portions of the work, but I ha ' Ilowing person to coordinate, supervise and provide the major work (include name / address! phone! contractors' license number) 5 I will provide some of the work, but I contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work) .PROPERTY OWNER SIGNATURE []AGENT DATE City of Carlsbad Bldg Inspection Request For: 03/29/2012 Permit# CB112431 Inspector Assignment: _13,/" Title: FRESH START: NEW NON-ILLUM Description: SIGN Type: SIGN Sub Type: Phone: Job Address: 2011 PALOMAR AIRPORT RD Suite: Lot: 0 Location: Inspector: OWNER P T CARLSBAD ASSOCIATES Owner: P T CARLSBAD ASSOCIATES Remarks: CAN U FINAL?? Total Time: Requested By: JANEAN Entered By: JANEAN CD Description Act Comments 38 Signs Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-15-2010 Sign Permit Permit No: CB100I03 Building Inspection Request Line (760) 602-2725 Job Address 2011 PALOMAR AIRPORT RD CBAD Permit Type- SIGN Status: ISSUED Parcel No 2130612600 Lot# 0 Applied 01/15/2010 Valuation $6,00000 Construction Type NEW Entered By JMA Reference #: Plan Approved 01/15/2010 Pc# Issued 01/15/2010 Project Title. TRANSTECH: NEW ILLUM SIGN Inspect Area: Applicant. Owner INTEGRATED SIGN ASSOCIATES P T CARLSBAD ASSOCIATES C/O MADISON SQ PROP INC 1160 PIONEER WAY 5414 OBERLIN DR #140 EL CAJON, CA 92020 SAN DIEGO CA 92121 619-579-2229 Building Permit $8141 AddI Building Permit Fee $000 Plan Check $5292 AddI Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 AddI Renewal Fee $0.00 Other Building Fee $000 Additional Fees $000 TOTAL PERMIT FEES $134.33 Total Fees $13433 Total Payments To Date- $134.33 Balance Due: $0.00 FINAL APPROVA Inspector.ZZ2-A Date: 2= -, -f Clearance- NOTICE Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any (4. CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/ 2718/ 2719 Plan Check No. C5 tDO(O Est. Value eve, eo`w — CARLSBAD rax: t OU-OU.-O33ö www.ca ris ba dca .gov '- Date 1/ 1gi to Jrv'Pr— JOB ADDRESS SUITE#/SPACE#/UNIT# APN - - CT/PROJECT# LOT # PIfASE # a OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE 0CC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area (s) ze EXISTING USE PROPOSED USE I I I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES 0 #_ NO 0 I AIR CONDITIONING I YES 0 NOD FIRE SPRINKLERS YES 0 NO[] CONTACT NAME (If Different Fom Applicant) APPLICANT NAME z4.A-J ç ADDRESS ADDRESS //tO CITY STATE ZIP CITY ZIP STATE If PHONE FAX PHONE FAX I EMAIL EMAIL PROPERTY OWNER NAME *N TRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LiC # TATE U # Ile (f k4$-J1' CLASS I I CITY BUS UC # f2 22S7 (Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolish or repair any structuref 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 jChapter 9, commending 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)). 4 ,1. ' :.', :" 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. l'i'ive and will maintain workers' compensation, as reqed by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation in ra carrier and policy number are: Insurance Co_l'4 (' t .... '.o ,f . Policy No. 9J/C 7L.L S'93' Expiration Date__________________ This section need not be completed if the permit is for one hundred dollars ($100) or less. C] 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 manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost :f compensation dam provided !7 of the Labor code, interest and attorney's fees. []AGENT DATE A5 CONTRACTOR SIGNATURE thereby affirm that! em exempt from Contractor's License Law for the following 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 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) 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(s) licensed pursuant to the Contractor's License Law) 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 0 No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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 I contractors' license number)' I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address phone! type of work). ..PROPERTY OWNER SIGNATURE DAGENT DATE L ®&) [®{i1 O®OOO C2O1? 001117 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? Cl Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Ii No lathe facility to be constructed within 1,000 feet of the outer boundary of a school site? I] Yes Cl 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 or the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address O(OCWO®G] H I certifythatl have madthe application and statethatthe above Information iscon'ectand thatthe Information onthe plans lsaccurete. I aeetocompIywlth all City ordinances and State laws reiallngto bulldingcorist,uctlon. thereby authorize representative 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 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 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit issued by the BuildmigAVal under the provisions of this Code shall expire by brnitation and become nut and void if the budding or work authorized by such permit is not commenced within 180 days from the date of such permit or761 or work authorized such pemift is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.44 Uniform Budding Code) LAlAPPLICANT'S SIGNATURE DATE CITY OF CARLSBAD Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: i-1-io I NFECTO2 PERMIT#: /O0I 03 CONTACT: PHONE#:_ JOB ADDRESS: 0011 (-k -K- DESCRIPTION: CODE DESCRIPTION ACT COMMENTS Bldg Inspection Form Page 1 of I Rev. 06/09 • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-12-2005 Sign Permit Permit No: CB053543 Building Inspection Request Line (760) 602-2725 Job Address: 2011 PALOMAR AIRPORT RD CBAD Permit Type: SIGN Status: ISSUED Parcel No: 2130612600 Lot #: 0 Applied: 10/12/2005 Valuation: $2,000.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 10/12/2005 Issued: 10/12/2005 Project Title: VANTEX MORTGAGE GROUP Inspect Area: INSTALL 1 NON ILLUMINATED WALL SIGN 15 SF Applicant: Owner: INTEGRATED SIGN ASSOCIATES P T CARLSBAD ASSOCIATES C/O MADISON SID PROP INC 1160 PIONEER WAY 5414 OBERLIN DR #140 EL CAJON, CA 92020 SAN DIEGO CA 92121 619-579-2229 Building Permit $38.13 Add'I Building Permit Fee $0.00 Plan Check $24.78 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $62.91 Total Fees: $62.91 Total Payments To Date: $62.91 Balance Due: $0.00 I > DfNG PLAi-,N,, .A CTJ1 Inspector: Date: t /I/R?* ____________ Clearance: NOTICE: Please take NOTICE that approval at your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 capacity 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 given a NOTICE similar to this, or as to which the statute of limitations has oreyiouslv otherwise exoired. PERMIT 'APPLICATION -": CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. c_.?osW EST. VAL. 2_ Plan Ck. Deposit Validated By________________________ Date ( Address (include Bldg/Suite #) Business Na (at this address) / 2o1' R/o#'r- i4i104 47J X O7#6 0,4L3" / Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ,\ Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 41e -jitéI," &)ñt4Afi5 ' bNT RONWdlff pplldnt) _J t yt4I4 c-I S/Ot(E //O Jth44Y LC e4ih'i 922E'26 hf?Y-e'2'f X Name .f ))ç Address City State/Zip Telephone # ,..Eax II / 3tAPPLiA Dtcor n?Vao0 OerDAgen for 0 Name Address City State/Zip Telephone # .j 4 PROPERjOWNER ( ,s L$' - Ikt7 WtU521N (/RJ DfYFI&S Xi T (i '70 3/7flJ DLI&o C/V Name Address City State/Zip Telephone # :5:b$sAoRo1NE dTh '(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, commending 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 ($5001). QAr U 45sc j/o ?coi'ff&'aw' EL PJjM1 M 2670 /P-c'1- 2229' Name Address City State/Zip State License # License Class /b, AT City Business License # 4. Designer Name Address City State/Zip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's Compensation insurance carrier and policy number are: Insurance Company .2 ,VV'1Cc7.. Policy No.53 Cc)EIil.$' Expiration Date 40, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 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 manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall Subject an employer to criminal penalties and civil fines up to one hundred 3thousand dollars ($1 , n a tlon to the 0 c mpensatlon, damages as provided for In Section 3706 of the Labor de, lqterest and attorney's fees. 0,10 s- SIGNATURE DATE DATE ___________________ I bJVNER f I hereby affirm that I am exempt from the critrartorNg 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 Øroperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed Construction (include name / address / phone number / contractors license number): 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 I address / phone number I contractors license number): 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 iCoMPETETi.IISSECTiONFQR1NONRESIDENj7AL'BUILDING.PERMlTSONtW.''. ' '•/ 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school Site? 0 YES 0 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. r trr y zvryrL ;z'sr I 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'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 OF CARLSBAD AGAINST ALL LIABILITIES, 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 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 com ed with 180 days frçthe-ate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co enced for eriod of 18 Cys (etion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR -'' DATE //> 4S' J 'HlTE: File YELLOW: Applicant PINK: Finance / City of Carlsbad Bldg Inspection Request For. 10/27/2005 Permit# CB053543 Inspector Assignment: Title: VANTEX MORTGAGE GROUP Description: INSTALL 1 NON ILLUMINATED WALL SIGN 15 SF Type: SIGN Sub Type: Phone: 6198431411 Job Address: 2011 PALOMAR AIRPORT RD Suite: Lot 0 Location: Inspector: APPLICANT INTEGRATED SIGN ASSOCIATES Owner: P T CARLSBAD ASSOCIATES ET AL Remarks: Total Time: Requested By: PATRICK Entered By: JANEAN CD Description Act Comment 38 Signs Associated PCRs/CVs Inspection History Date Description Act Insp Comments q /~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-07-2003 Sign Permit Permit No: CB031833 Building Inspection Request Line (760) 602-2725 Job Address: 2011 PALOMAR AIRPORT RD CBAD St: 100 Permit Type: SIGN Parcel No: 2130612600 Lot #: 0 Valuation: $5,600.00 Construction Type: NEW Reference #: Project Title: CITY NATIONAL BANK ONE ILLUMINATED WALL SIGN Status: ISSUED Applied: 07/07/2003 Entered By: MDP Plan Approved: 07/07/2003 Issued: 07/07/2003 Inspect Area: Applicant: SIGNTECH ELECTRIC ADV. 4444 FEDERAL AVE SAN DIEGO CA 92402 619 527-6100 Owner: P T CARLSBAD ASSOCIATES C/O MADISON SQ PROP INC 5414 OBERLIN DR #140 SAN DIEGO CA 92121 Building Permit $68.89 AddI Building Permit Fee $0.00 Plan Check $44.78 AddI Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 AddI Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $113.67 Total Fees: $113.67 Total Payments To Date: $0.00 Balance Due: $113.67 8948 07/07,03 0002 01 Cap 02 113-67 II!!; kLI DATE 7- f OCLEARANCE SIGNATURE_____________________ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK N0.6 'IL3 EST. VAL. rocra Plan Ck. Deposit Validated By Date r MLft7'f /1RP'L( 1Qp - coo CI7y ,ijfr1'vlrnt 32'' Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name - Address City State/Zip Telephone # Fax # -., kJ TAX Ca ti-'7I't' wtr,IM 4444 fEiEji J pijO 64 qj,. 6,tf 6-27— giew Name Address City State/Zip Telephone # A r WThSI'J S2 9d1PA21, .5-4,4 ,,Øeszs.,,) M 140 54v d1I c-'4 jzIv-4'4.4 qt ..4 Name Address City State/Zip Telephone # lad 1070% (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, commending 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 ($5001). /4,j./7f . zA164, *Zv&Z fjc/,L) 4.44 t4'k- 4() Plfeip C cV - af SZ- - &(o 0 Name Address . City State/Zip Telephone # State License # 457 C44 O License Class City Business License # 120?4 2? Designer Name Address City State/Zip Telephone State License # LI Workers' Compensation Declaration: I 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. K 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 issued. My worker's compensation insurance carrier and policy number are: J Insurance Company (4 9 7,- F'cj,iA7 Policy No.4 9f 7/ - 2c.13 Expiration Date 4 -4-04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fail to secuAworkcompenaatlon coverage is unlawful, and shall subject an employer to crIminal penaltIes and cIvil fines up to one hundred thousand doll s to the cost of compensatIon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________________________________ DATE I3 LÔVJNERBUIC'DERD d RATION r 4 , 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). 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 exempt under Section --- Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): 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._____________________ .Oi4TE THis_srcfIQNFoNosr6EN77AL BUItDNGERM Y4Z c"- ic Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 form YES 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 ETINO Is the facility to be constructed within 1,000 feet of the Outer boundary of a school site? 0 YES 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. 30970) 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 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 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 stories in height. EXPIRATION: Every permit issued bythe 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 4pys from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirr 'tar the work is days (Section 106A.4 Uniform Building Code). APPLICA .. SIGNATURE r4Qi ,?U2'/'1 DATE 4-03 WHITE: File YELLOW: Applicant PINK: Finance 9- to City of Carlsbad Bldg Inspection Request For: 02/04/2004 Permit# CB031833 Title: CITY NATIONAL BANK Description: ONE ILLUMINATED WALL SIGN Type: SIGN Sub Type: Job Address: 2011 PALOMAR AIRPORT RD Suite: 100 Lot 0 Location: APPLICANT SIGNTECH ELECTRIC ADV. Owner: P T CARLSBAD ASSOCIATES ET AL Remarks: Inspector Assignment: RB Phone: 6195726507 Inspector: Total Time: Requested By: BUD Entered By: CHRISTINE CD Description Act Comment 38 Signs rn I2fr Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/25/2003 38 Signs PA RB NEED ACCESS TO VERIFY TRANSFORMER 1 B U I L D I N G P E R lvi I T Permit No: CB920619 06/4/92 08:55 Project No: A9201526 Page 1 of 1 Development No: Job Address: 2011 PALOMAR AIRPORT RD Suite.- Permit Type: SIGN 8205 06/24/92 0001 01 02 Parcel No: 213-061-22-00 Lot#: C-PRMT 25.00 Valuation: 500 Construction Type: NEW eic Occupancy Group: 'eference#: Status:ISSUED Description: PAINE WEBBER WALL STREET Applied: 06/24/92 Apr/Issue: 06/24/92 Validated By: DC Appl/Ownr : INTEGRATED SIGN ASSOCIATES 619 579-2229 1160 PIONEER WAY #M EL CAJON, CA 92020 * Fees Required ***' Fees 'olected & Credits Fees: Adjustments: -,CO 1uta1 crealts: .00 Total Fees: 25.00 - '/- Total PZkncei y4t: .00 & •- '- '- Balane &Th e: - 25.00 Fee description - Ur4ts,- Fee/L,'rii Ext fee Data - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ______________________ Building Permit ,- / 0 • 15.00 Plan Check / 0/. 10.00 * SIGN TOTAL (:" - 0 25.00 -- 5 Flq ' PiPPROVAL I NSPik _____DATE CLEARANCE______________ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION S City of CarLsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 ..e S . 1. PERMIT TYPE A Commercial U New Building Li Tenant Improvement B -0 Industrial LI New Building 0 Tenant Improvement C - U Residential 0 Apartment U Condo U Single Family Dwelling 0 Addition/Alteration U Duplex 0 Demolition U Relocation LI Mobile Home LI Electrical LI Plumbing U Mechanical 0 Pool LI Spa LI Retaining Wall 0 Solar LI Other__________ PLAN CHECK NO. (7O 9 EST. AL PLAN CK DEPOSiT______________ VALID. BY DATE FOR OFFICE USE ONLY ._7"" ZoY ()01'g Pit/b4t tAU 5 Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIFlU): 02 Energy Calcs 02 Structural Caics LI 2 Soils Report LI I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE Z PTION OF WORK opc NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPUCANT U CONITRACIUR LI AGENT FUR CONIHACIUR U OWNER U AGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME 9p- 1L- ADDRESS Z-o I I Puii.IA(L)00/LT 120i4j-C) CP.iZLS&it) STATE C/si ZIP CODE DAY TELEPHONE pr ADDRESS 11(.00 PIUAMIIIIIr.. LA( '5TE It CITY CAzu') STATE C4 ZIP CODE l 2.t'—O DAY TELEPHONE - -Z2.?_ STATE UC. # qqOW LICENSE CLASS CITY BUSINESS UC. - DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' WMPENSA11014 Workers' Compensation Declaration: I hereby at lirm that I have a certificate 01 consent to sell-insure issued by the Director 01 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 51YeT POLICY NO.J I U1SEXPIRA11ON DATE to —1 -91 so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby attirm that I am exempt from the Contractor's license Law for the following reason: 0 1, 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 Contractors 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.). LI I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). 0 1 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 Contractors 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 [$5001). SIGNATURE DATE COMPLETE This SECFION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES LINO 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 lifE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION (X)N11LOL DISTRICF. Y. WNSTRUCI10N LENDING AGENCY I hereby altirm that there is a construction lending agency for the performance 01 the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CER1IFICA11ON 1 certify that I have 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 menl ioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (X)STS 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'O" 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 aba)ith?ned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). PLICANT'S SIGNATURE L_1) /14 DATE:-9z- c CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920609 FOR 07/24/92 INSPECTOR AREA MP DESCRIPTION: PAINE WEBBER WALL STREET PLANCK# CB920609 TYPE: SIGN JOB ADDRESS: 2011 PALOMAR AIRPORT RD APPLICANT: INTEGRATED SIGN ASSOCIATES CONTRACTOR: OWNER: REMARKS: MH/LON/579-2229 SPECIAL INSTRUCT: 0CC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 579-2229 PHONE: PHONE: INSPECTOR ________________________ TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB880364 PLUM EXPIRED CB891488 CTI EXPIRED CD LVL DESCRIPTION ACT CO " \J% 38 EL Signs _ ***** INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS C] i hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Soction 7000) of Division 3 of the Business and Professions Code, and my license is in tuft force and effect I hereby affirm that I am exempt from the Contrac- tors License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county which re- quires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance also requires the ap- plicant 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 is ex- empt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by an applicant for a permit sub- lects the applicant to a civil penally stool more than five hun- dred dollars ($500) I I, as owner of the properly, or my employees with wages as Iheir sole compensation will do the work and the struc-lure 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 properly who builds or improves thereon and who does such work himself or through his own emoloyees, provided that such improvements are not intend- ed or offered for sale If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale) 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 loan owner of properly who builds or im- proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law) 1 As a homeowner I am improving my home, and the follow ing conditions exist 1 The work is being performed prior to sale 2 I have lived in my home for twelve months prior to completion of this work 3 I have not claimed this exemption during the last three years 0 iamexempt under Sec ________________ B & P C for this reason 0 U Es I- 0 U r UI 0 -I UI Z 31 0 thereby affirm that t have a certificate of consent to self insure or a certificate of Workers Compensation In surance or a certified copy thereof (Sec 3800 Labor Code) POLICY NO COMPANY Copy is filed With the city 0 Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE lThis section need not be completed if the permit is for one hundred dollars (0100) or less) 0 t certify that in the performance olive work for which this permit is mooed I shall not employ any person in any manner so as to become subject to the Workers Compen- sation Laws of California NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forthwith comply with such provisions or this permit shall be deemed revoked Z 0 I- U, Z UI 0 0 U U, 0 1 hereby affirm that there is a construction lending agency for the performance of the work for which this per- mrl is issued )Sec 3097. Civil Code) Lender s Name Lenders Addre, 0) C Of 0 a a C a- IM C') a) CL In C II USE BALL POINT PER OLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD I8UOLDG DEPARTMENT APPLOCATOON A PEIU1DT 2075 Las Palmas Dr.,, Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV ST.RD THOMAS BROS NO, DATEOf PPLtCATION BUSINESS LICENSE it VALUATION PERMIT NUMBER r.2011 J1/R/Jer /ZJ ij,/i? 0 -. / ° CB °°7 LOT I BLOCK J SUBDi,ISION j ASSESSOR PARCEL NO ONTRACTOR - / - c7 4/— 2-A' - CONTRACTORS PHONE s ZONE OWNER'S NAME OWNER'S PH CTOR'S /4 BUILDING SQ FOOTAGE AD6R ss I '13Y-76 3 0012 STATE LICENSE NO. 01/25 OlOi 02BIdPBt L25 OWNER'S MAILING ADDRESS 9ER $YO DESIGNER'S PHONE CI DESCRiPTiON OFWORK R'S ADDRESS STATE LICENSE NO F/P FLR ELEV I I NO 0CC OP EDU STORfES ND ____I i I CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT I I TYPE 0CC LOAD I FIRE SPP I AREA I CONST n 0 N 0 I 0 NO l I 'i'D NO Not Valid Unless Machine Certified - QTY PLUMBING PERMIT - ISSUE QTY MECHANICAL PERMIT - ISSUE 00 SUMMARY/ACCOUNT NUMBER -- - EACH FIXTURE TRAP - INSTALL FURN DUCTS tJP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 .90 EACH BUILDING SEWER OVER 100,000 BTU , SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER ANO'OR VENT - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 - EACH GAS SYSTEM 1 104 OUTLETS - BOILER/COMPRESSOR 315 HP , TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM 5 OR MORE - METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER - — MECH EXHAUST HOOD/DUCTS WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER SOLAR 001-8 - EACH ROOF DRAIN (INSIDE) t DRYER VENT STRONG MOTION 88419-92-33 .6 0 ' - TOTAL MECHANICAL FIRE SPRINKLERS JAN öi 227 rOTA) PLUMBING PUBLIC FACIA S FEE 320-810-00-00-8740 _________________ OTY ELECTRICAL PERMIT - ISSUE OTY MOBILE HOME SEJdV ' BRIDGE FEE (? ________________ PARK-kJW PROC SI - NEW CONSI EA AMP'SWI BKR CAR PORT MI qpg TIF I PH 3 PH - AWNING . ___ LA COSTA _______________________ EXIST BLDG EA AMP/SWT -BKR - GARAGE - - FMF 1 PH 3 PH - \u t,Iit,I,/i ' '- LICENSE TAU/%N .92-00-8162 REMODEL ALTER PER CIRCUIT \x: - '-' MFF 880-519-92-57 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) - - CREDIT DEPOSIT TOTAL ELELIR((;A( - TOTAL - TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED '-APPLICATION AND PERMIT- AND DO HEREBY I EopirationEverypermit isouedbythe Building Official under the Provisions ofthis I Code shall expire by limitation and become fluff and void If the building Or work * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I authorized by such permit is not commenced within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permit, or if the building or work authorized by such permit in suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED' TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON- I abandoned at any time after the work is commenced for a pniod STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIG ATURE OWNE.k11 CONTRACTOR 0 -- APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THf" /,J BY PHONE 0 of 180 days--- f'rad' GRANTING OF THIS PERMIT TYPE I DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR El CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND BL/CO U PL/CO UNDERGROUND DWASTE EJiWATER TOP OUT El WASTE 0 fATER TUB AND SHOWER PAN GAS TEST 0 WATER HEATER 0 SOLAR WATER ELECTRICAL El ELECTRIC UNDERGROUND Cl UFFER ROUGH ELECTRIC El ELECTRIC SERVICE 0 TEMPORARY El BONDING El POOL MECHANICAL El DUCT & PLEM., El REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE PLUMBING ELECTRICAL -- j irL wff, TA ow [:IjIiijc .qPFf'IAI * 1O(t) FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - INSPECTION REO IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - - -. ' STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE • POST TENSIONED CONCRETE FIELD WELDING - - HIGH STRENGTH BOLTS SPECIAL MASONRY - PILES CAISSONS (:iEI1Ei) 2 "• - __ _ Fc r' I hereby affirm that I am licensed under °I övIalons of Chapter 9 (commencing with I Soction 7000) of Division 3 of the Business I and Professions Code, and my license is in L full force and effect U- I hereby affirm that I am exempt from the Contrac- tors License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county which re- quires a permit to coestrucf, alter, improve, demolish, or repair any structure, prior foils issuance also requires the ap- plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor License Law (Chapter 9 commencing with Section 7000 of Division 30f the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleges exemption Any violation 01 Section 7031,5 by an applicant for a permit sub- jects the applicant to a civil penalty of not more than five hun-dred dollars ($500) I f, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc- ture in 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 intend- ed or offered for sale If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale) 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 loan owner of property who builds or im- proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law) As a homeowner lam improving my home, and the follow- ing conditions exist 1 The work is being performed prior to sale 2 I have lived in my home for twelve months prior to completion of this work 3 f have not claimed this exemption during the last three years lam exempt under Sec . BAP C for this reason 80 sea 0 Os III at U a' 0. in C USE BALL POUT PEN ONLY 9 PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS thereby affirm that I have a certificate of consent to I neil-insure, or a certificate of Workers Compensation In I surunce or a certified copy thereof (Sec: 3800 Labor Code) POLICY NO uiS' COMPANY *311INEM III.Jt Copy is filed with the city In 0 Certified copy is hereby furnished 911. "a IE CERTIFICATE OF EXEMPTION FROM O WORKERS COMPENSATION INSURANCE U) )This section need not be completed if the permit 80 is for one hundred dollars ($100) or less) ', 0 i certify that in the performance of the work for which 19 this permit is issued, I Shall not employ any person in any manner so as to become subject to the Workers Compen. sation Laws of California NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers I Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked r 0 I hereby affirm that there is a construction fending U. agency for the performance of the work for which this per. 01 mit is issued )Sec 3097, Civil Code) lull Lender's Name________________________________ L Lender's Address CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 I.PPUCATOO PIEROT .108 ADDRESS AV, ST. RD, NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER 2o Rc CAMO LOT I BLOCK SUBDIVISION J ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE If 1 ~A ZONE OWNER'S NAME OWNER'S PHONE L3TEtT MOC4A'T 5(.2--( ZOO BUILDING SQ. FOOTAGE .utcrr PA.ocIc- CONTRACTOR'S ADDRESS oj-uS-b J; STATE LICENSE NO. ç OWNER'S MAILING ADDRESS CA 'Z01 I p DESIGNER DESIGNER'S PHONE - -' DESCRIPTION OF WORK ')1F 31L&- oE IAr, iu_OH 1of-iE?,3' DESIGNER'S ADDRESS STATE LICENSE NO F/P FLRELEV.I NO OCCGP EDU YO NO -___J STORIES I I I 0004 03/02 0101 021dPt 26 5 i PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT I TYPE 0CC LOAD I FIRE SPR I I AREA I J ICONST Y O N 0 YO NO YO ND - Not Valid Unless Machine Certified - QTY. PLUMBING PERMIT - ISSUE QTY MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER — EACH FIXTURE TRAP - INSTALL FURN DUCTS UP TO 100,000 BTU , BUILDING PERMIT 001-810-00-00-8220 Of EACH BUILDING SEWER . OVER 100,000 BTU , SIGN PERMIT 001-810-00-00-8221 EACH WATER HEATER AND/OR VENT , BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 ( t. EACH GAS SYSTEM 1 TO 4 OUTLETS , - BOILER/COMPRESSOR 315 HP . TOTAL PLUMBING 001'810-00-00-8222 EACH GAS SYSTEM 5 OR MORE , METAL FIREPLACE . ELECTRICAL 001-810'00-00-8223 EACH INSTAL , ALTER, REPAIR WATER PIPE - -- . VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER . MECH EXHAUST - HOOD/DUCTS , MOB(LEHOME 001-810-00-00-8225 WATER SOFTNER , RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226 — EACH ROOF DRAIN (INSIDE) , DRYER VENT . 'STRONG MOTION 880-519-92-33 TOTAL MECHANICAL I J . FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING PUBLIC FACILITIES FEE 320-810-00-00-8740 QTY ELECTRICAL PERMIT - ISSUE QTY. MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA NEW CONST EA AMP/SWTiBKR CAR PORT TIF 134-810-00-00-8835 1 PH 3 PH , AWNING LA COSTA TIF 133-810-00-00-8835 EXIST BLDG EA AMP/SWT/BKR GARAGE ' FMF 1 PH 3 PH - . LICENSE TAX 001-810'00-00'8162 REMOOEL'ALTER PER CIRCUIT . MFF 880-519-92-57 TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTAL ELELTRICAL I TOTAL TOTAL FEES PAYABLE 2-(, •c0 = I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY I Expiration Every permit Issued by the Building Official under the provisions of this CERTIFY Code shall expire by limitation and become null and void It the building UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE or work * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER I authorized by such permit IC not commenced within 180 days from the date of Such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS 5' O' DEEP AND DB01OUTION OR CONSTRUCTION OF I permit, or If the building or work au)Itb(uzed by such permit IS suspended or ISSUED' TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON' abandoned at any time after the work/s c4'nmenced for a penod of 180 days STRUCTURES OVER 3 STORIES IN HEIGHT STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT's SIGNATURE BY DATE APPROVED KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILtTIES, JUDGMENTS, COSTS AND OW7 ONTRACTOR EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT BY PHONE L_ L147 TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME El FLOOR 0 CEILING SHEATHING 0 ROOF El S1EAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING El SEWER AND 13L/C0 El FPL/CO UNDERGROUND DWASTE dWATER TOP OUT El WASTE El NATER TUB AND SHOWER PAN GAS TEST El WATER HEATER 0 SOLAR ATER ELECTRICAL El ELECTRIC UNDERGROUND [I UFFER ROUGH ELECTRIC El ELECTRIC SERVICE El TEMPORARY El BONDING El POOL MECHANICAL 0 DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS (SAl I CnQ ClAiAl lM.Q0(4lflIJ WUPN Al I APPPnPPIATIC FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION REQ IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH 51RENGTH BOLTS SPECIAL MASONRY PILES CAISSONS • ____ OOO' 2\05 OTOT OBJb'+ 'e