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Home My WebLink About1050 GRAND AVE; ; CB120350; Permit02-27-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB120350 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 1050 GRAND AVCBAD SIGN 2031302000 Lot#: $8,000.00 Constaiction Type: 0 NEW EXTENDED STAY AMERICA-REPLACE 5 WALL SIGNS (4 ILLUMIONATED USING EXISTING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: SAN DIEGO ELECTRIC & SIGN STE 312 871 HAROLD PL 91914 619-216-0213 ISSUED 02/27/2012 RMA 02/27/2012 02/27/2012 Owner: E SHIES A PROPERTIES LLC C/O EXTENDED STAY-PROPERTY TAX 100 DUNBAR ST SPARTANBURG SC 29306 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 $107.27 $0.00 $75.09 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $182.36 Total Fees: $182.36 Total Payments To Date: $182.36 BalanceDue: $0.00 Inspector: FINAL Date: _ PPROVAL Clearance: NOTICE: Piease take NOTICE that approval ol your project includes the "Imposition" of fees, 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. II 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 attacic, 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 fees/exactions of which vou have Dfeviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otheraiise exoired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.carlsbadca.gov /At Plan Check No. Est. Value Plan Ok. Dep' 5 ^;iUilu SWPP JOB ADDRESS CT/PROJECT # SUITE#/SPACE*^NIT# TENANT BUSINESS MAME CONSTR. TYPE I OCC GROUP # OF UNnS # BEDROOMS # BATHROOMS DESCRiPTION OF WORK: /nc/ude Square Feet ofMfected Ana(s) Uf J/Cy^p2^ P/krfUjyUA. PATIOS (SF) ' DECKS (SF) FIMPLACE AIR CONDITIONING Fll YK • # NO • YES • NO • rSPRINKLERS rYES •NOD APPUCANT NAME (Pr/mary Contact) APPUCANT NAME (Secondaiy Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL FAX EMAIL PROPERTYOWNER NAME CONIRACTOR BUS. NAME ^ , ^ » ^ ^ , , . ^ ADDRESS ADDRESS CITY STATE ZIP CITY^ ^ STATE ZIP _ PHONE EMAIL FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATEJJCJL. 7^0 37*^ cmc BUS. uc.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL 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 ofthe Contractor's License LawfChapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Seotlon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATiON Workers'(^pensation Declaration: / hereby aflfrni under penalty (^peijwy one of the Ibllowing declarations: d I have and will maintain a certificate of coneentto selMnsure for workers'compensation as provided by Section 3700 of the LaborCode, for the performance of the worif for which this permitis issued. Q|j have and will maintain workers' compmsatlon, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemnit is issued. My workers' compensaUon insurance earner and policy C number are: Insurance Co. <^ Ol^ rAl^t VO Policy No A/ ^ C. O0OO6,Z^^OO Expiration Date 4" " / - ^ "2- This section need not be completed Ifthe pennit Is fbr one hundred dollars ($100) or less. O Certificate of Exemption: 1 certify that in the perfomiance of the work for whk;h this pemiit Is Issued, 1 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag^ as pr^ed for In Sectiajj[^706 of the^bor code. Interest and attomey's fees. -^-^V^ KG JB^ CONTRACTOR SIGNATURE AGENT DATE Z'Zl' /2- OWNER-BUILDER UECLARATION / /lerefcy affimi (hat / am exempt from Confracfor's Ucense Law Ux the follomng reason: • I, as owner of the property or my employees with wages as their sole compensatnn, will do the work and the stmcture Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of pmperty who builds or improves thereon, and who does such work himself or thmugh his own emptoyees, pmvkled that such Improvements are not Intended or offered for sale. If, however, the building or impmvement is sold wilhin one year of completion, the owner-builder will have the burden of proving that he dkl not build or improve for the purpose of sale). • I, as owner of the pmperty, am exclusively contracting with licensed contractors to construct the pmject (Sec. 7044, Business and Pmfessions Code: The Contractor's License Law does not apply to an owner of pmperty who builds or Improves thereon, and contracts ibr such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). Oi 1 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 OYes • 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 (firni) to provide the proposed construction (Include name address / phone / contractors' license number): 4.1 plan to provkle portions of the work, but 1 have hired the following person to coonlinate, supen/ise and provkle the major work (Include name/address/phone/contractors'license number): 5.1 will provkle some of the work, but 1 have contracted (hired) the following persons to provide the work lndk:ated (include name / address / phone / type of work): VCTPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and prevention program under Sections 2S505,25533 or 25534 of the Presley-Tanner Hazanjous Substance Account Act? OYes ONo Is the applicant or futuro building occupant required to obtain a pemiit from the air pollution control district or air quail ty management district? • Yes • No Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? DYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the worl( this permit is issued (Sec 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certily that I have read the applkation and state that the above infoimatkwi is conect and tliat the infoimatkm on the plans Is accuiate. I agiee to comply with all Ci^ ordinances and Stats laws lelating to building constiuction. I hereby authorize representative of Ihe City of Carlsbad to enter upon the above mentioned property iDr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILrriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITl' IN CONSEQUENCE OF THE GRANTING OF THIS PERMiT. OSHA An (DSHA pennit is required for excavatkms over 50' deep and demolitbn or constructfon of stnjctures over 3 stories in height EXPIRATION: Every pennit issued by the Building Oflidal under the piovisbns of this Code shall expiie by imitatbn and become nui and void if the building or vwrk aulhorized by such pennit is not commenced vMthin 180 days km the date of such pennit or if ttiebAiding or wrk authorized by such perniKAsuspendedor abandoned at any time afler the w(»k is commenced fbr a period of 180 days (Sectbn 106.4.4 Unifomn Buikiing Code). >eS'APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB120350 Type: SIGN EXTENDED STAY AMERICA-REPLACE 5 WALL SIGNS (4 ILLUMIONATED USING Date Inspection Item Inspector Act Comments 08/23/2012 38 Signs - Rl 08/23/2012 38 Signs PD AP Friday, August 24, 2012 Page 1 of 1