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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 -y-.p-^-^.^^-iitum-i^-.mrw'i-":"^™^^-!-;'" ..-m-^"—f-r-r' ~-—«r-" [Uiais.J"^ 8tL .uLjrt,.*^ .k-M.U.U.-ljL ' -fLlL-AJK 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 wz g>oO 5>zm co ooXXdz?;& oQ i " ms g ^o g o <m § D 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 $1,000,000 PER OCCURRENCE EMPLOYER 1ST CHOICE SIGNS & LIGHTING SERVICE 610 ROCK SPRINGS RD ESCONDIDO CA 92025 SD (REV 2-05)PRINTED 03-18-2006 M0410 , *j. !,1,cf 3' i a ."V IiV II[-•!' ORNIA ALL-PURPOSE ACKNOWLEDGMENT County pf.1 On.8/12/02 ,-4'SL"before me, DATE . Hnhhnn1rhi .Votary Pnhftc NAME TITLE OF OFFICER E G , "JANE DOE NOTARY PUBLIC" personally appeared:", CHRIS TOPER ; H personally known to me • LINDA L HOLIBONICH NOTARY PUBL1C> CALIFORNIA COMMISSION # 1225908SAN DIEGO COUNTY MyComm Exp June 25. 2003 NAME(S) OF SIGNER(S) ^AWJUMVJtKI^ to be the person($ 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 =3 MC3 eraCDoo•o3Dap CD =O men —H-ta 3Da £e-s ^3O9 3 C3 I CQCO r—E I § m 063 BRUSHED;1 —IMINUM FACES RSi Hio CD 8 r-m &CONSIST OF FARETURNS ANDfO S ICATED 0 40 PRE5 ACRYLIC SAOw >Z S m C? C C O Xs b 3 13UUDH3r~ro Hn 3D in•onn-. S H a " H S3r o in H5 a H aw_) enoento «utou ZO CD tn ID CO COso <E ,—j-•3 wr-t- n=c COt-n en C3 era 3Eoo (Z3 00-c= 0 X3 CD 03 (Pm v> w70m =9 3=}G3 O C-3C3•o r^ 3D e-3ca CO 33 JO- en tn iy |O K |ftIO -eO R:3 n H-C•o o=3 39 F