HomeMy WebLinkAbout1000 AVIARA PY; 100; CB062412; Permit08-23-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB062412
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
lOOOAVIARAPYCBADSt 100
SIGN
2120407000 Lot# 0
$3,50000 Construction Type NEW
GRUUB/ELLIS-WALL SIGN ILLUMINA
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
08/23/2006
RMA
08/23/2006
08/23/2006
Applicant
1ST CHOICE SIGN & LIGHTING SERVICE
610 ROCK SPRINGS RD
ESCONDIDO, CA 92025
760-746-5069
Owner
KELLY CORPORATE CENTER II C L L C
C/O THE ALLEN GROUP
5330 CARROLL CANYON RD #200
SAN DIEGO CA 92121
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$5349
$000
$3477
$000
$2000
$000
$000
$000
$000
TOTAL PERMIT FEES $10826
Total Fees $108 26 Total Payments To Date $10826 Balance Due-$000
Inspector
FINAL
Date
VAL£9
Clearance
NOTICE Please take NOTICE thai approval of your project includes the "Imposition" of lees 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 ior
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 imposilion
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 ofwhicn you have previously been given a NOTICE similar lo this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONi.Y
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Address C~*>| / _>-^ AMa. /& _ La
Legal Description Lot No Subdivision Name/Number Phase No Total # of units
Assessor's Parcel Existing Use Proposed Use
Description of Work SQ FT.
'
#of Stones # of Bedrooms # of Bathrooms
Name Adress City Stare/Zip Telephone # / Fax #
S "B«t~^JwwLi^rjiiC!ilE'llii(f,i.""! yr >*i 'J-L'v
Address City State/Zip
prwrr8 Telephone Ifm
(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
exempjjqn Any violErjjoB-of Section 7031 5 by any applicant fot a Qam^it subjects the aoQicant to a civil penalty of not more Jtian five hundred dollars IS5001)
rt/ra K/J. ESCQnJidT LQ . *?1Q2£
State License # t&*^?£*(@Q
Designer Name
State License #
Address ^ ^
License Class I 4^ J
Address
I City State/Zip
City Business License tt \/^JJ^
City State/Zip
Telephone tt
Telephone
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Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
SjjT 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
'f tRe work for which this permit is issued
O 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 Compan^A^ AyftD-"r& FlJ TnOf Policy No I/^ /Df/*1 H -rlfXJl S) Expiration Date 4~Ot— T) *jf
(THIS SECTION NEED NOTECOMFETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100K)R I.ss
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 ftunpensation coveragBTa unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (0100 000) trKfldmion'tq th&cost of compensation damages as provided for in Section 3706 of tfje Labor code interest and attorney's fees
DATE
JILDER,DECI!ARATIOF
I hereby affirm'that I am exempt fromfeh^ 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 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)
n 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 contfactor(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 C] YES QNO
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 number / contractors license number)
4 I plan lo 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 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
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? Q YES Q NO
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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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
iaCHTc^Nsl^WTioNlWDlNG'AGENCY^ffOJiTirx?i"TTT^?!^''Z^TffrJ1!^W^^W£li^^T"^'i?^J>wm:T^I^^^( > Pn?~Yr;ril."^i*^t^^^'*V.p p '*lr^ -"'•-*-^'_»«-U_'"J=^ _ J^ MJ^j^i^fi^Mftiti 11Hhil 'T!^^-. .„ jt,...d».-.»~t. >i,..J»..»iHii^.<-*.„..-.-fr*^:!!.mi«*«^ fc *,.th.-Lfri.ttifl.ii^ ,.,J|,.^.jt.l^JulA^.OLitf^,, *rfUfat,nU£A>a*UI»^L-i,LJll^sAfrtL. Wk.^ U-»*—~hT,^'
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 CitV 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 commenced within 180 d^rs^irom the data of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the
APPLICANT'S SIGNAT
ection 106 4 4 Uniform Building Code)
DATE
PINK Finance
City of Carlsbad Bldg Inspection Request
For 02/13/2007
PermiW CB062412
Title GRUUB/ELLIS-WALL SIGN ILLUMINA
Description
Inspector Assignment
1000 AVIARAPY
100 Lot
Type SIGN Sub Type
Job Address
Suite
Location
OWNER KELLY CORPORATE CENTER II C L L C
Owner
Remarks final sign
Total Time
CD Description
38 Signs
Act Comment
Phone 7607465069
Inspector
Requested By SANDRA
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PCS
Inspection History
Date Description Act Insp Comments
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POLICYHOLDER COPY SD
COMPENSATION
INSURANCE
FUND
PO BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 04-01-2006 GROUP
POLICY NUMBER 1870694-2008
CERTIFICATE ID 4
CERTIFICATE EXPIRES 04-01-2007
04-01-2006/04-01-2007
CONTRACTORS STATE LICENSE BOARD
WORKERS COMPENSATION UNIT
P 0 BOX 2600O
SACRAMENTO CA 95826
SD LICENSE NUMBER CSLB# 643568
INCEPTION DATE 04-0t-2006
DO-SD
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated J
This policy is not subject to cancellation by the Fund except upon ^Q days advance written notice to the employer
We will also give you 1Q days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy
SKU^V
THORIZED REPRESENTATIVE PRESIDENT
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER;
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE
EMPLOYER
1ST CHOICE SIGNS & LIGHTING SERVICE
610 ROCK SPRINGS RD
ESCONDIDO CA 92025
SD
(REV 2-05)PRINTED 03-18-2006
M0410
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."V IiV II[-•!'
ORNIA ALL-PURPOSE ACKNOWLEDGMENT
County pf.1
On.8/12/02 ,-4'SL"before me,
DATE
. Hnhhnn1rhi .Votary Pnhftc
NAME TITLE OF OFFICER E G , "JANE DOE NOTARY PUBLIC"
personally appeared:", CHRIS TOPER
; H personally known to me •
LINDA L HOLIBONICH
NOTARY PUBL1C> CALIFORNIA
COMMISSION # 1225908SAN DIEGO COUNTY
MyComm Exp June 25. 2003
NAME(S) OF SIGNER(S)
^AWJUMVJtKI^
to be the person($ whose nameOO,is/a^p-
subscribed to the within instrument and ac-
knqwtedged to me that he/sWf/lb^y executed
the same in his/b^r/Jtjtfir authorized'
capant>^u^), and that by his/t^&h£ir
signature^ on the instrument the person^),
or the-entity upon behalf of which the
acted, executed the instrument
WITNESS my hand and official seal
^v-\^trxxA^ca^ A^ . \
SIGNATURE OF NOTARY
OPTIONAL SECTION
No
•MM OPTIONAL SECTION •— •
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to, ,
fill m the data below,. doing so may prove
invaluable to persons relying on the document
J2f INDIVIDUAL , * ' '",
[[] CORPORATE'OFFICER(S)
TITLE(S) --'
QPARTNER(S) 'n LIMITED
Q 'GENERAL
Q ATTORNEY-IN-FACT
n TRUSTEE(S)
[] GUARDIAN/CONSERVATOR
OTHER • °' _
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENT)TY(IES)
\ * THIS CERTIFICATE MUST BE ATTACHED TO
\ THE DOCUMENT DESCRIBED AT RIGHT
^ _
(.Though the data requested here is not required by law,
,* Vt could prevent fraudulent reattachment of this form
TITLE OR TYPE OF DOCUMENT.
NUMBER OF PAGES DATE OF DOCUMENT,
SIGNER(S) OTHER THAN NAMED ABOVE
.ygy./y<r
610RockspnngsRd
Escondido, Ca 92025
(760) 746-5069
(760) 746-5393 fax
e-mail choicesiansfoiaol com
To Whom It May Concern:
Including myself, Sandy Johnson, Janet Johnson, Chris Toper and Tom Gerlach
are presenting themselves on behalf of my company to pull permits. They have my
authorization to do just that They have copies of my Workers' Compensation and
my contractor's card with them.
Please feel free to contact my office with any questions you may have.
Respectfully, p
/ ;
Noel A. Johnson
Owner
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