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Home My WebLink About1005 CARLSBAD VILLAGE DR; F; CB980342; PermitBUILDING PERMIT Permit No CB980342 02/05/98 15 16 , Project No: A9800427 Page 1 of 1 Development No Job Address 1005 CARLSBAD VILLAGE DR Suite- F Permit Type SIGN Parcel No Lot# Valuation. 950 Construction Type NEW Occupancy Group. Reference*: Status- ISSUED Description WOOD SIGN 26 SF-W/ELECTRIC Applied: 02/05/98 93 CENT CITY Apr/Issue 02/05/98 Entered By• RMA Appl/Ownr : KEVIN WATTERS 619 593-9513 ** A KEVIN WATTERS 1198 E MAIN ST EL CAJON CA 92021 Fees Required *** Fees • Adjustments. Total Fees: Fee description Building Permit Plan Check Other * SIGN TOTAL 61 01 C-PRHT 02 * ** •£L~QC oo . 00 61 00 Ext fee Data 25. 00 16, 00 20.00 ELECT FEE 61 00 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DATE SIGNATURE FINAL APPROVAL DATE CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PROJECTINFOBMATJON $ FOR OFFICE USE ONLY PLAN CHECK NO ^(,XD__5_ EST. VAL _ Plan Ck Deposit Validated.BV_. Date ^-l__u / Address (ineJuds Bldo/Suito #}Business Name '•« this*address) Legal Description Lot No Subdivision Name/Number J. Umt No Phase No Total # of units Assessor's Parcel tt Existmg,U« , , /y .•%.'.-<*)I Proposed Use ONTACT PERSON Wdlftewnt from applicant) Name Address . City <3 AfRtlCANT D Contractor , D Agent for Contractor Q Owner ^ Agent for Owner 11^^ €. State/Ztp Telephone #Fax * a* Name 4 PROPERTY OWNER Address City State/Zip Telephone # Address Sine/Zip lereprtoneName 5 ' CONTRACTOR - COMPANY NAME [Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construrt 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 Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he (s exempt therefrom, and the basis for the alleged exemption Any violation of Section 703,1 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1*500)1 ""Hi tfc, /•-I— . 1 I _ 1 .• J f r. ""*- &t i t VL . / . I— -« J* . Jt .A L ft *4 T IT* f* Sat.-/" Telephone # {"to t<*~)Name State License # Address License Class ^- 4S-City State/Zip City Business License 9 * Designer Name -~-— . Address City State/Zip Telephone State License # C? » ' -*-/f 6 WORKERS'COMPENSATION " 7'"" ~" 7 ~" , ,* Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 Q 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 * "•> i ^Q ja . , Insurance Comoany \JtS\ > C V*~t* ^ ..... ... Policy No \J \j^3C2 "" & •V"Cfe> Expiration Date *•? | > O I *j» (T.HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR 'ESS) 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 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 doNarsJ&jjpO 000), rn addition totry cost of compensation, damages M provided for In Section 3706 of the Labor code, interest and attorney'* f«*» 1 SIGNATURE '^^e^'f^^ fJ&\~7 DATE J? ^ O^ 7f) 7 OWNER-BUILDER DECLARATION ^ ™; T" ' ""'^-^^ .< t $"•*«"• I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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 Bale (Sac 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 sate If, however, the building or Improvement la sold within one year of completion, the owner-builder will have the burden of proving that he did not budd or improve for the purpose of aala) tjQJ t, as owner of the property, pm exclusively contracting with licensed contractors to construct the project (Sac 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 auch projects with contractor(a) licensed pursuant to the Contractor's License Law) Q I am exempt under Section Business and Professions Code for this reason I personally pian to proviot, in* major labor and materials tor construction of the proposed props i/ improvement Q YES fcjNO I (have I nave not) signed an application tor a building permit lor the proposed work I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors license number)ber / Sc.S 2-( Zfo 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) , .. ^ .. 5 I will provide some of the wofk, of work) I/nave contractadj (hired) the following persons to provide the work Indicated (Include name / address / phone number / type PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR WOAW?ES»£rV7Z4i BUILDING PERMITS ONLY —'• -*--'- *— ,T™—<r *y- Is the applicant or future building occupant required to submit a business plan, acutely hazardous mstenals registration fgfm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES )Di MO rvvl «vjf Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES nil NO Afc 4*^ f T Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES jH 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 8. CONSTRUCTION LENDING A&ENCY "' " "* "* -*-"-"• -"~ -r- - --* — -.- * - .-- , I hereby affirm that there is a construction lending agency for the performance of the work for which t*iis permit is Issued (Sec 3097(iJ Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION " " * "" " """"' " ~~ —t-— - * - r—.r>wp, I certify that I have read the application and state that the above information is correct and thet 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 representative;, of tha 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 OS HA An OSHA permit is required for: excavations over 5T3\deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by Ahe-ffluilding O/ficial unuer 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 vJithini369davs from the date of such permit or if the building or work authorised by such permit is suspended or abandoned at any time after the wo/^s commended mlr a veriod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE rize It WHITE File YELLOW Applicant PINK Finance EXISTING SIGNS: Type Number (a) Pole (b) Monument (c) ,WaU PERMITS ISSUED FOR EXISTING SIGNS: Yes No Size (in squar< Date TOTAL BUILDING STREET FRONTAGE TOTAL SIGNAGE ALLOWANCE EXISTING SIGNAGE (SQ. FT.) REMAINING SIGN ALLOWANCE AT PRESENT PROPOSED SIGNAGE (SQ. FT.) REMAINING SIGN ALLOWANCE AFTER PROPOSED SIGN ft, sq. ft. sq. ft. sq. ft. ft. sq.ft. OWNER APPLICANT NAME (PRINT OR TYPE)NAME (PRINT OR TYPE) MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP (fl TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE S1GNA1 I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MYKNO DATESIGNATURE PLANNER CHECK LIST: 1. Field check by planner. 2. Within maximum length, area. 3. Style consistent with Sign Program and/or Specific Plan criteria, if applicable. 4. Location: In right-of-way In visibility triangle at corner On roof 5. Pole and monument signs to be checked by Bob Johnson, Traffic Engineer, for visibility issues. 6. When approved route copy to Data Entry APPROVED: Planner:Date: FRM00010 11/90 Page 2 of 2