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Home My WebLink About1265 CARLSBAD VILLAGE DR; ; CB052899; Permit08-09-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB052899 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant LTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 1265 CARLSBAD VILLAGE DR CBAD SIGN 1561802100 Lot# $7,000 00 Construction Type 0 NEW REMAX-ELECT TO MONUMENT SIGN ONLY 6 FT HIGH &ILLUMINATED WALL SIGN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/09/2005 RMA 08/09/2005 08/09/2005 Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 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 $7659 $000 $4978 $000 $2000 $000 $000 $000 $000 $14637 Total Fees $146 37 Total Payments To Date SO 00 Balance Due-Si 46.37 4311* 08/09/05 0002 Oi 02 CGP 146-3? 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 "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 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 lees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have Drgvigjslv been given a NOTICE similar to 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 ONLY PLAN CHECK NO. >6 5 Plan Ck. Deposit Validated By Date /7 7^7 //•> ((/ I ( / C/<J (mdude Business Name (at this address). t Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Description of Work \ il ' W*<"L*. r SQ FT 'NTACT PERSON (irdiHerenl from applicant) T [/ °* Dw°011™ l^LU^inAT^A Name Address City State/Zip Telephone # 1/*<>I'Name Address City State/Zip Telephone (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 exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)1 ,„,,,,„ Address City State/Zip Telephone # State License * /T 7* «??? 1 License Class C ""*"( S City Business License # Designer Name Address State License It City State/Zip Telephone -* " " ''* *'•'' - Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 permit is issued n*"^ 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 Company $vJg U^-f^tA Policy No ._ i'..l_lQ$U- Expiration Date £~-*f " &£ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 19100] OR LESS) Q CERTIFICATE OF EXEMPTION 1 certify that tn 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 sactyb workers' compensation coverage Is unlawful, and *hall subjact on employer to criminal penalties and civil fines up to one hundred thousand dollars (tlOO.OQo), In addition to th» cost .of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE //. f^~\ — ^-_ DATE tf/ V P C I hereby affirm that I am exempt from the 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) G 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 contractor(s) licensed pursuant to the Contractor's License Law) Q 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 Q YES QNO Z. I (have / hava 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 to 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 ~ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q 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 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 City 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 IK 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 stones 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 wrmm 180 days from the date of such permit or if the building or work authorized Dy such permit is suspended or abandoned at any time after the work is commenced forX/enod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE / / Y/ ?/Q_S WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/15/2005 Permit* CB052899 Title REMAX-ELECT TO MONUMENT SIGN Description ONLY 6 FT HIGH &ILLUMINATED WALL SIGN Inspector Assignment Type SIGN Sub Type Job Address 1265 CARLSBAD VILLAGE DR Suite Lot 0 Location APPLICANT ULTRASIGNS Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C Remarks Total Time Phone 619954017^ Inspector Requested By JIM Entered By CHRISTINE CD Description 38 Signs 39 Final Electrical Act ^ Comment Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments POLICYHOLDER COPY STVPCTE p ° BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE 'DATE: 04-27-2005 RANCHO SANTA FE NATIONAL BANK 4365 EXECUTIVE' DR, #125 . SAN DIEGO CA 92121 GROUP POLICY NUMBER 1711028-2005 CERTIFICATE ID 496 CERTIFICATE EXPIRES 05-01-2006 05-01-2005/05-01-2006 This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California ' Insurance Comrr.sssicnor tc the emp!oyer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance > notice should this policy be cancelled prior to its normal expirationj - ~. -i , 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 policy1 « AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 1- JOHN HADAYA P,S, T - EXCLUDED.',' ' ' '» f - ** t * * ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER ULTRASIGNS, INC 9025 BALBOA AVE STE 150 SAN DIEGO CA 92123 [JMC.SD] SC|F 10262E Accept this certificate only if you see a feint watetmartt that reads 'OFFICIAL STATE FUND DOCUMENT" PRINTED 04 27 2005 PAGE 1 OF 1