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HomeMy WebLinkAbout1735 MCCAULEY LN; MULTI-PERMIT FILE; CB910408; Permit' . .. B U I L D I N G P E R M I T Permit Project Development No: CB91U408 No: A910048<± 0 3/06/91 10: 59 Page 1 of 1 J~b Ad<lress: 1735 MCCAULEY LN Permit Type: SIGN Parcel No: Valuation: 500 Construction Type: NEW Occupancy Group: Class Code: Description: TWO KINGDOM HALL JEHOVAH WIT Appl/Ownr : JEHOVAH WITNESS KINGDOM HALL 1735 MCCAULEY LANE CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check * BUILDING TOTAL 2 St:r : 619 No: Fl: Ste: 121 1 03/06/91 ooo· CJ?_ 1 ?flf1 Stu..,._....,. ISSUED Applied: Apr/Issue: Validated By: 754-2114 03/06/91 03/06/Yl DC .00 .00 25.00 *** Ext fee Data 15.00 10.00 25.00 F~~ ~0 PROVAL INS 0. ~ --DATE -----• CLEAl'\nr .1C ______ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ .. City of Carlsbad Building Department EST. VAL. __ _,,_c:.__:t>-Oc:.__c:_ _____ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSH ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A COMMERCIAL B D INDUSTRIAL □NEW TENANT IMPROVEMENT □TENANT IMPROVEMENT C 0 RES! DENT I AL O APARTMENT QDUPLEK □DEMOLITION OMECIIANICAL □POOL QCONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □RELOCATION QM081LE HOME □ELECTRICAL □PLUMBING □SPA QRETAJNING WALL QS0LAR Q0THER -INFORMATION Lot No. Unit No. Phase No. CHECK BELOW If SUBNITTED: Q2 Energy Cales 02 Structural Cales 02 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE !fa I I # OF STORIES 3. CONTACT PER NAME ADDRESS ZIP CODE CITY SIGNATURE 4. APPLICANT D CONTRACTOR NAME CITY STATE 0 AGENT fOR CONTRACTOR ADDRESS STATE ZIP CODE DAY TELEPHONE 0owNER 0 AGENT FOR O\.INER DAY TELEPHONE 5. PROP TY OWNER 1 , NA ~ hovc,1--i~ w, 7"'fS.><..S OWNER □LESSEE OTENAMT CITY CJ,r/,;.i,q(fi ca, STATE ADDRESS ZIP CODE DAY TELEPHONE 6. CONTRACTOR .., 7. 8. NAME CITY SiGMATURE DESIGMER NAME CITY STATE STATE LIC. # ____ _ STATE WORKERS' COMPENSATION ADDRESS ZIP CODE LICENSE CLASS _____ _ TITLE ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # IJorkers' C<lffl)ensat1on Declaration: hereby affirm that have a certificate of consent to self·rnsure issued by the Director of Industrial Relations, or a certificate of IJorkers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cert if; ed by the Di rector of the insurer thereof f i led with the Bui ldi ng Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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 sl.bj ect to the IJorkers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am eKempt from the 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 ottered for sale (Sec. 7044, Business and Professions code: The Contractor's License law does not apply to an owner of property who builds or ifl1)roves 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 CO!lllletion, the owner-builder will have the burden of proving that he did not build or iirprove for the purpose of sale.). D I, as owner of the property, am eKclusively 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 iirproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exenJlt under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which req..,ires a permit to construct, alter, iirprove, demolish, or repair any structure, prior to its issuance, a L so requi res the applicant for such permit to f i I e a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is eKefll)t therefrom, and the basis for the alleged exeirptfon. Any violation of Section 7D31.5 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 NON·RESIDENT!Al BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sub:nit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 255DS, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occ~nt required to obtain a permit from the a1r pollution control district or air quality management district? □YES OMO J s the facil i ty to be cgns true ted within 1, 000 feet o1 the outer boundary of a school site? □YES □,o If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oca.pANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APf'LICANT HAS NET OR IS MEETING THE REQUIRE.:NTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE [ certify that J 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 mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JU)ail:NTS, COSTS AND EXPENSES MHICH NAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. EKpiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become null and void if the building or work authorized by such permit is not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or aband ed at any time after the wor conmenced for a period of 180 days (Section 303(d) Uniform Building Code). CONTRACTOR OBY PHONE APPROVEO BY: ______ _ DATE: YELLOW: Applicant PINK: Finance PERMIT# CB910408 INSPECTOR AREA MP DESCRIPTION: TWO KINGDOM HALL CITY OF CARLSBAD INSPECTION REQUEST FOR 10/09/91 JEHOVAH WIT PLANCK# OCC GRP CONSTR. CB910408 TYPE: SIGN JOB ADDRESS: 1735 APPLICANT: JEHOVAH CONTRACTOR: OWNER: MCCAULEY LN WITNESS KINGDOM HALL STR: FL: PHONE: 619 754-211 PHONE: \I TYPE NEW STE: REMARKS: MH/MARLON/754-2114/AM PLS SPECIAL INSTRUCT: 2 SIGNS, ONE IN SPANISH PHONE: e INSPECTOR~ AND ONE ON P"'EccR-::Ic:cM=E~T'==E-=R----=cw"'A-=L-=L----- TOTAL TIME: --RELATED PERMITS-- CD 38 LVL DESCRIPTION EL Signs PERMIT# CB891698 SE883323 TYPE SIGN SWCI -------------------------------------------------------- STATUS EXPIRED ISSUED ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS B U I L D I N G 10/27/89 16:44 Page 1 of 1 Job Address: 1735 MCCAULEY LN Permit Type: SIGN Parcel No: Valuation: 500 Construction Type: NEW P E R M I T Str: Permit No: CB891698 Project No: A8801618 Development No: Fl : Ste: 1vv7 .o,~7,-~ ,iv~ 02 .... , 'RHT 3.co Occupancy Group: Class Code: Status: ISSUED 10/27/89 10/27/89 DC Description: SIGN JOHOVAH'S WITNESSES Applied Apr/Issue Validated By: *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 25.00 .00 25.00 *** Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 25.00 Ext fee Data --------------------------------------------------------------------------- Building Permit Plan Check * BUILDING TOTAL CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 15.00 10.00 25.00 PERMIT APPLICATION A V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438·1161 PLAN CK DEPOSIT ___________ _ 1. PERMIT TYPE A COMMERCIAL • 0 INDUSTRIAL □NEW C □RESIDENTIAL □APARTMENT □DUPLE)( □DEMOLITION 0MECIIANICAL □POOL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION QRELOCATION □MOBILE HOME □ELECTRICAL □SPA QRETAINJNG WALL □SOLAR □OTHER VALID. BY ____________ _ DATE 2. PROJECT INFORMATION PLAN CHECK NO. F Addms /7'3 :!; 1Y7e,C;tJ,J~ f-4~ '" Nearest Cross Streets l//14£?"'/ LEGAL DESCRIPTICII Lot No. Sutxliv1s1on Name/Nl.l'lt>er Unit No. Phase No. CHECK BELOW If SUBNITTED: D 1 Addressed Envelope Q2 Energy Cales 02 Structural Cales q2 Soils Report EXISTING USE PROPOSED USE BLOG. SQ. FTG. # Of STORIES 3. CONTACT PERSON 4. ""' CITY SIGNATURE , APPLICANT NAME CITY 0 CONTRACTOR STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE QO\.'NER DAY TELEPHONE 0 AGENT FOR O\.INER DAY TELEPHONE □LESSEE □TENANT ADDRESS /131 J1<C.W<e-( c...,'. ZIP CODE 1/'~0(' DAY TELEPHONE 6. CONTRACTOR J ADDRESS ZIP CODE 7. 8. NAME CITY STATE DAY TELEPHONE STATE LIC. # _____ _ LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE Tl TLE DATE DESIGNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION \ilorkers• Corrpensation Declaration: hereby affirm that have a certificate of consent to self·rnsure issued by the Director of lndustrnl Relations, or a certificate of \ilorkers' Corrpensat ion Insurance by an admitted insurer, or an eKact copy or dupt i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 380D, Lab. C). POLICY NO. EXPIRATION DATE INSURANCE COMPANY Certificate of EKeirption: I certify that in the performance of the work for which this permit is issued, I shall not eirploy any person in any manner so as to become subject to the l.lorkers' Corrpensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: ! hereby affirm that I am eKempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my eirployees 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 ilJl)roves thereon,. and who does such work himself or through his own eirployees, provided that such ilJl)rovements are not intended or offered for sale. If, however, the building or ifll)rovement is sold within one year of cClfll)letion, the owner·builder will have the burden of proving that he did not build or i,rprove 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 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 exerrpt 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, ilJl)rove, demolish, or repair any structure, prior to its issuance, al so requires the applicant for such permit to f i le a signed statement that he is Ii censed pursuant to the provisions of the Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is eKeo-pt therefrom, and the basis for the alleged ex~tion. 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 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? Ons □No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES OND Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □Yes D•o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF occu>ANCY MY NOT BE ISSUED AFTER JUl.Y 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING TNE RECIJIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROl DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i) Ci vi l Code). LENDER'S NAME LENDER IS ADDRESS 10. APPLICANT'S SIGNATURE I certify that ] have read the application and state that the above information is correct. I agree to coo-ply 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 INOENNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGNENTS, COSTS ANO EXPENSES WICH MAY IN ANY \ilAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code s~all expire by limitation and become null and void if the building or work authorized by such permit is not coomenced within 18 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is coomenced for period of 180 days (Section 303(d) Uniform Building Code). O\.INER □ CONTRACTOR □BY PHONE APPROVED BY: OATE: WHITE: File YELLOW: Applicant PINK: Finance .~ , ' S I G N ~Jrn-v,=,,-,o,.) ! • IT h,cc Srn,,z:w.1 c, IAl-C o,,_ ;;~,1sov,u-; Ccw~mvo-r,,,J ..5l.U/>1~7'Ql'..-'r;:, iSW?JC. PA~~ ! ( ' L ' SECTION L_PLANNlt-lG ~S;pc "'"'V16N -= 8t.:!LCl~.:G RE DEVEL -4-,- .3z' ' I .~ I '. 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