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Home My WebLink About1048 CARLSBAD VILLAGE DR; ; CB950008; PermitBUILDING PERMIT 01/03/95 13 2b Page 1 of 1 Job Address 1048 CARLSBAD VILLAGE OR Suite: Pern'it Type. SIGN Parcel No: 203-320-32-00 Lot# Valuation 8,300 Construction Type NEW Occupancy Group Referenced: Description: DENNY'S SIGN-REFUEBISH FACE & : CABINETS Permit No CB950Qu« Project No- A9500009 Development No 0161 01/03/95 0001 01 02C-PRMT 178-00 Status ISSUED Applied 01/03/9CJ Apr/Issue- Oi/0J/95 Entered By RMA Aopl/Ownr • SUPERIOR ELECTRIC ADVERTISING 800-995-9099 1700 W ANAHEIM ST . _ LONG BEACH, CA 90813 ' " • x ** Fees Required * *,* Fees- ^'78,00' Adjustments- / -,.00 Total Fees: - 178'. 00' " ' ' " /Fee descriDtioii • '-- ' •' - V A A .•' Fees- Collected ix Ciedits >-A To.tal Credits", Total Payments:', ^ ' Balance"' Due: \ / ' Fee/Unit 00 .00 178 00 Ext fee Data Building Permit Plan Check ^ SIGN TOTAL 108 00 70 00 178 00 1Q5? 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 <619> 438-1161 I. PLKMJT TYPE From List 1 (see back) give code of Permit-Type *± For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO-C&V- EST VAL / PLAN CK DEPOSIT. VAUD BY/ DATE \T 2. PROJECT INFORMATION Address l/\ 11 o FOR OFFICE USE ONLY or Suite No Nearest Cross Street LEG" AL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHKJK BEloW It SUBMITTED D 2 Energy Gales D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES UUNTALT PtHyJN (i[ dilterent trom applicant) OF BEDROOMS # OF BATHROOMS NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 AFPUCAN 1 Jfl LJUN 1 KACTOK NAME (last name first) ^GixjE-f Cn"YOP./3'vV-ie- " 5 PROPERTY OWNDl 1% - _ NAME (last name first) CITY Co >u_i <fc^ o tt^GEN 1' FOR COM'l RAU1UR v<^ ADDRESS STATE CO ZIP CODE ^2j STATE C'3 • ZIP CODE UOWNEK U AGENT FOR OWNER C, 4 *) DAY TELEPHONE *7 9 5~ '^ J<£ 7 ADDRESS ^ y% C'^O /6 v O LA e t . -N-X yQ NJ DAY TELEPHONE V-AJII i n/u_. i \jn f, «- , _^ NAME (last name first) ^^p-f«.vO«^ (SCtCr /^,fi)t/' ADDRESS f^^O (Aj CITY Z.0^\ A, «,^t\ STATE Qn ZIP CODE ^ Od"'3 DAY TELEPHONE $OO "f^S* STATE LIC # ^") ' S"*! P LICENSE CLASS C/V^ CITY BUSINESS IJC # NAMk tlast name lirstj ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # WORKERS' CXJMPhNSAnON Workers'TJompensauon Declaration ITiereby aTfirm that 1 have a certificate ot consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY fi POLICY NO EXPIRATION DATE Certificate or so as to beo .xemption I certify that in the performance ol the work tor which this permit is issued, I shall not employ any person in any manner to the Workers' Compensation Laws of California SIGNATUR DATE />/3/95 8 OWNER-BU BECLARATION Owner-builder Declaration rnereby attirm mat l am exempt trom the Contractors License LawTor the following reason n 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 ) D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) D I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of die Business and Professions Code) or that he is exempt dierefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS "SECTION FOR NQN-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES HI NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO 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 THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9. I hereby attirm that there is a construction lending agency tor the performance ot the work: for which this permit is issued (Sec 3097UJ Uvil Code) LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT mk'lTf RA'IIUN ~ Fcertily that 1 have read the application and state that the above intormation is correct I agree to Comply with all Oty 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 CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY 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 stones 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 sucb permit is notcemmenced within 365 days from the date of such permit or if the building or work authorized, by such permit is suspended or abandoned at any wfie/after the work is commenced for a penod of 180 days (Section 303(d) Uniform Buildmj APPLICANTS SIGNATURE / I ^ / / DATE File YELLOW: Applicant PINK: Finance DATS PERMIT * JOS ADDRESS INSPECTOR PLAWCX « TIKZ ARRIVE:TIME LEAVE: CO LVL DESORIPTIOM ACT COMKZ;MTS CMU