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Home My WebLink About1145 Carlsbad Village Dr; ; CBC2017-0418; PermitCommercial Permit Print Date: 01/25/2018 i(^City of Carlsbad Permit No: CBC2017-0418 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: tt Dwelling Units: Bedrooms: Project Title: Description: 1145 Carlsbad Village Dr BLDG-Commercia! 1561802600 $5,000.00 Sign DEV2017-0159 Work Class: Lot tf: Reference #: Construction Type: Bathrooms: Grig. Plan Check#: Plan Check #: SHELL STATION SHELL: NEW SIGNAGE AND FACING FOR CANOPY AND MONUMENT SIGN Owner: TRUST SHICK FAMILY TRUST 09-09-93 5413 Fairgreen Way Zander Ardis BONSALL, CA 92003 Status; Applied: Issued; Permit Finaled: Inspector: Final Inspection; Closed - Finaled 08/03/2017 08/03/2017 1/25/2018 9:53:45AM Contractor: FREY MOSS STRUCTURES Po Box 459 CONYERS, GA 30012-0459 800-366-6385 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL $70.61 $49.43 $1.00 $1.40 Total Fees: $122.44 Total Payments To Date:$122.44 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction," 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 I 760-602-8560 f I www,carlsbadca.gov ^Ccity of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad. OA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov w\vw.carlsbadca.eov Plan Check No-CgC 17'- 0^ (^ Est. Value qcxI) Plan Ck. Deposit Date JOB ADDRESS hhs YiLM-aGB oyz. SUITE#,'SP.AC£#/UN1T# APN CT/PROJECT» LOT# PHASE##0F UNITS # BEDROOMS »BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAffected Area(s) ^ pRR existing use proposed use GARAGE (SF)PAHOS(SF) DECKS (SF] FIREPUCE AIR CONDITIONING FIRE SPRINKLERS YES □ # NO □ YES □ NO □ YES □ NO □ AP^C^T^AI^jPi^ar^n^aj^ /PROPERTY OWNER NAME rn7r--r-.^ . j 1..-TV x--resoisus peminJ. 4-MW<q Go- ADDRESS B>ArJo Oy// ADDRESS CITY STATE ZIPB£>U/jT/ei CA 67 CITY STATE ZIPcS/ir\lANroTj/o iy PHONE ^90 '■'=\3oo FAX PHONE-Z/c C^'ZZ.y FAX EMAIL DESIGN PROFESSIONAL NAME ^ ^ 'CONTRACTOR BUS. NAME ,0,p^PBy-h4Css STRifcrdF^ IN<B ADDRESS Bjyis/ PP ADDRESS */Bot PCCU.OALB ihrc>\i%.r CITY STWE ZIPY CA 7^367 CITY STATE ZIPQ,CL. PHONE 'Mi'ZSb -93 FAX PHONE ,7^b-Z'2h'^l£>^FAX EMAIL EMAIL STATE Lie. #STATE lie.#eiASS CITV BUS. Lie.# ff (Sec. 7031.5 Businessapplicant for such pernBusiness ar^d Professions Code) or that he is exempt therecivil penal^ of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty ofperjury one ofthe following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by SecKon 3700 of the Labor Code, for the performance of the work for which this permit is issued. Of I have and will maintain workers' cqmpens^on,flsra}4iifedby Section 3700 of ttie Labor Code, for the performance of the work for^hihjs ^rmitis issued. My workers' compensation insurant earner and policy number are: Insurance Co.UNi-f^V Policy No Expiration Date This section need not tw completed if the permit is for one hundred dollars ($100) or less.n Certiricate of Exemption: Icerti^ thai in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Ck)mpensation Laws of California. WARNING: Failure to secure workers' comoensation 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 compensation, damages as for In Section 3706 of (he Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE ^GENT DATE OWNER-BUILDER DECLARATION^ thereby affirm that I am exempf from Contracfor's License Law lor the following reason: □ I, as owner of the property ormyemployees with wages as their sole compensation, will do Uie work and Ihe structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The COontractor'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 nol intended or offered forsale. 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 (he project (Sec, 7044, Business and Professions Code; The Cwtractor's License Law does nol apply to an owner of property who builds or improves thereon, and contracts for such projects with conb-actor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under SecUon 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. □ Yes □ 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 I phone I contractors' license number): 4. [ plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I conlractors' license number): 5-1 will provide some of the work, but I have contrKted (hired) the following persons to provide the work indicated (include name I address / phone/type of work): JB^property owner SIGNATURE □agent DATE Is Ihe applicant or future building Kcupanl required to submit a business plan, acutely hazardous materials registration form or risk man^emenl and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes O NoIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes O NoIs the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF AltlY OF THE ANSWERS ARE YES. A RNAL 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. I hereby affirm that there is a constaiction lentJing agency for the performance of the work this permit is issued (Sec, 3097 (!) Civil Code). Lender's Name APPLICANT CERT Lender's Address I C8rtlfythatlha\« read the application and state tiiatttie above infoimation Is correctand thatthe Information on the plans is accurate, lagreetocomplyvrith all City ordinances and State laws relatingto buildingconstruction. I her^ authorize representative of the City erf Carlsbad to enter upon the above mentioned property for in^iecfion purposes. I ALSO AGREE TO SAVE, 1ND0,1N!FY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILfTIES, 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 requ^ for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.EXPIRATION: Every permit issued by the Bjiiding Official ur^cJhe provisions of tfiis Code shall expire by ihitetion and become nu» and void if the building or vnork authorized by such p«mit is not commenced within180 days ton Ihettete of such permit or if the building cryvdrkautii^^ by such permit is suspended or abandoned at any tirrie after the woik is commenced fr^apetiod of 180 days (Section 106.4.4 Uniform Building Code). ^fifAFPUCANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (GBC2017-0418) TRUST SHICK FAMILY TRUST 09-09-93 Application Date: 08/03/2017 Owner;Permit Type: BLDG-Commercial TOWN OF CARLSBAD AMENDED08/03/2017 SubdivisionWork Class: Sign Issue Date: 1145 Carlsbad Village Dr Carlsbad, CA 92008-1908 Expiration Date: 07/24/2018 Address:Closed - FInaledStatus: IVR Number: Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 01/25/2018 01/25/2018 BLDG-38 Signs 046858-2018 BLDG-Flnal Inspection Checklist Item BLDG-BulldIng Deficiency 046859-2018 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Chris Renfro Chris Renfro COMMENTS Reinspectlon Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes January 25,2018