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HomeMy WebLinkAbout1000 AVIARA PY; ; CB101128; Permit06-21-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB101128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1000 AVIARAPYCBAD SIGN 2120407000 $2,500.00 Lot #: 0 Construction Type: NEW MOVE EXIST. MERRIL LYNCH SIGN AND INSTALL NEW "COMMERCIA BANK" SIGN Applicant: ADIMPACT 19772 MAC ARTHUR BLVD. STE. 110 92612 949-476-0015 Status: ISSUED Applied: 06/21/2010 Entered By: JMA Plan Approved: 06/21/2010 Issued: 06/21/2010 Inspect Area: 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 TOTAL PERMIT FEES $54.11 $0.00 $35.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $89.28 Total Fees:$89.28 Total Payments To Date:$89.28 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 for 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 imposition. 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 tees/exactions of which you have previously been given a NOTICE similar to this, of as to which the statute of limitations has previously otherwise expired. <^W> Building Permit A| v^^VJx 1635 Faraday Ave., Carlsba ^y CITY OF 760-602-2717/2718 /~* A ft 1 f* O A I~N Fax: 760-602-85 CAKLbBAU www.CarlsbadCa.E ^"T5o MACA 'fVi^u/^r CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS .. .. Plan Check No. (T*StsT "2-S^ppncQtion ^ j,CA 92008 Est. Value $ *2£&t) / 2/1958 Plan Ck. Deposit J0V _ ,| .A*— Date t f«j \ 1 O vJ^VV^T SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME • CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) . ~? \~\G^&' ^^( ^,T] tJ & ' 1^&£&ILL,~ LVN£f-l S\(e>)^ /VMjP |^JC,TAt^-~ N^**J ^ Co M£40ft2A t^/v^ «Sl<oM EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME > ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES O NO D YES O NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL tONTRACrOR/BllS. NAME /•} * ADDRESHT72 M^/W^ "&A/P ^\\0 CITY |R/\^ S$\ ?2^^- PHON£)4^ 474>-#9<£ FAX °[¥} \ik-&%P) EMAIL STATE LIC-#/4 ,£3 r. 1^7 X_ CU^ A Cm BUS' UC'* (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: d 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 perm it is issued. L~l 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 workers' compensation insurance carrier and policy •^ number are: Insurance Co. ~~T^X^ > Policy No. G'i't^f^^ l'2/>!)43'fcj^ Expiration Date l£> • ( • \O This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performaitoe of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' cormensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatlarrrdamagks as prowled for in Section 3706 of the Labor code, interest and attorney's fens. >£$" CONTRACTOR SIGNATURE V^^f^i/i^^A ^^ /riAGENT DATE /b - 2 (" |tO I hereby affirm that I am exempt from Contractor's License Law for the mtpwing reason: D 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). O 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 fa' such projects with contractors) licensed pursuant to the Contractor's License Law). a I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, d Yes Q No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hirqfthe following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracled/hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE ;NT DATE 2-1. I -T-plrlS SECTIO'N....F;p.R "N^W-R-ESIDENf 1 At';-BU.ll.DIK<» P E R M t T S 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? CJ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes d No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. , C O H $ T'Jfc«.;C T I O*r I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I hereby authorize representative of the City ot Cartsbad 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 SAD CFTY 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 utfder the provisions of this Code shall expire by limitation and become null and void if Die building or work authorized by such permit is not commenced within 180 days from Ihe date of such permit or if the bulding or vjSri/aulhorized by sudipemiit is suspended a abancloned at any tirne ate'Ihevi^ is commenced fcf a period s >d5'APPLICANT'SSIGNAT DATE /x ^55^ C CARLSBAD CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit Q Right-of-Way Permit Q My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Q My project qualities as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl • Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 • Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 • Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Page 1 of 1 Rev.03/09 City of Carlsbad Bldg Inspection Request For. 07/29/2010 Permit* CB101128 Title: MOVE EXIST. MERRIL LYNCH SIGN Description: AND INSTALL NEW "COMMERCIA BANK" SIGN Inspector Assignment: Type: SIGN Sub Type: 1000 AVIARAPY Lot: Job Address: Suite: Location: APPLICANT ADIMPACT Owner: KELLY CORPORATE CENTER II C L L C Remarks: Phone: 7147580668 Inspector: Total Time: CD Description 38 Signs Act Comments Requested By: ATHENA Entered By. CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments ADIMPACT 19772 MacArthur Blvd., Irvine, CA. 92612 (949) 476^)015 FAX (949) 476-0029 June 18, 2009 To whom it may concern, We hereby authorize Mr. Warner LeManager to act on behalf of the company as our agent in obtaining permits and as an officer of Adlmpact, he has understood the statements as they pertain the issuance of permits by the State of California and any cities therein, and the State Contractor's License Board. If you have any questions please do not hesitate to call me at (949 ) 476-0015 Sincerely: Fred S. Hosseini President Adlmpact Corporate Signage a California Licensed Contractor License No. 490124 C45 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 Department of Consumer Affairs «"*** ^-'. f Contractors State Licence Board Contractor's License Detail - License # 490124 (Kb DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. > CSLB complaint disclosure is restricted by law (B&.P.7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. '' Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. •"'•• Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. v Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Reissue Date: Expire Date: License Status: Classifications: Bonding: Workers' Compensation: 490124 Extract Date: 06/21/2010 ADIMPACT CORPORATE SIGNAGE 19772 MAC ARTHUR BLVD #110 IRVINE, CA 92612 Business Phone Number: (949) 476-0015 Corporation 04/17/1986 06/30/2004 06/30/2012 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION C45 ELECTRICAL SIGNS CONTRACTOR'S BONO This license filed Contractor's Bond number 189109 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bonding History BONO OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) FARHAD SHAH-HOSSEINI certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 06/30/2004 This license has workers compensation insurance with the DELOS INSURANCE COMPANY Policy Number: 02DKRM12004369 Effective Date: 10/01/2009 Expire Date: 10/01/2010 Workers' Compensation History Miscellaneous Information:DATE DESCRIPTION 06/30/2004 LICENSE REISSUED TO ANOTHER ENTITY Personnel listed on this license (current or disassociated) are listed on other licenses. 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