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Home My WebLink About1285 CARLSBAD VILLAGE DR; ; CB081125; Permit06-13-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB081125 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1285 CARLSBAD VILLAGE DR CBAD SIGN 1561907000 Lot# 0 $1,10000 Construction Type NEW PEDIATRIC SMILES-METAL SIGN @ FRONT OF BUILDING-NO ELECTRIC Status Applied Entered By Plan Approved Issued Inspect Area Applicant SIGNS 4 BIZ STED 940 W SAN MARCOS BLVD SAN MARCOS CA 92078 760 744-2929 Owner CARLSBAD MEDICAL VILLAGE L P C/0 RUSS RIES 9225 DOWDY DR #106 SAN DIEGO CA 92126 ISSUED 06/13/2008 RMA 06/13/2008 06/13/2008 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 $2508 $000 $1630 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $41 38 Total Fees $41 38 Total Payments To Date $41 38 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees, dedications, reservations -r 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 fee.,'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 requirec 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 Ond sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this pro^c! NOR DOES IT APPLY to any fees/exactions o( which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City of Carlsbad ^^ 1635 Faraday Ave , Carlsbad, CA 92008 Sl^Kf/^f '760-602-2717/2718/2719 «^fs|U^, Fax 760-602-8558 ^)>"r<'*^ Building Permit Application J /<^-#S~ CXn5/?<?UA \)< \oAs2_ CT/PROJECT* LOT# PHASE* ft OF UNITS # BEDROOMS 4 BA"g/ROOMS ) // n is r i a* S. Plan Check No. l^p (/ 0 / f ^J) 0 Est. Value / f &O r n Plan Ck. peposit //I I Date kltA(o? SUITE#/SPACE#/UNIT# APN i TENANT BUSINESS NAME jj J1 . n TYPE OF CONST OCC GROUP ^/DESCRIPTION OF WORK &lease describe present use and proposed use) /~i/iA Ko ^ • «-f>* r S'Wl J *? CI I) / / r\ ^ s^3^/ //"//// Tl-^i iHf 1 ' ' *-— - *"" " -* ' J<J^ uu BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL OWNER NAME DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO Q APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL 1 CONTRACTOR BUS NAME £- \ . . J2 --^ ADDRESS /ADDRESS // _,, _ / 01, \ 7^0 w ^>eLrf ^MA^0-S £>($« 77ljfc> CITY STATE ZIP f CITY — **^ ^x^ ZIP r? PHONE FAX 1 PTTOfTE FAX EMAIL 1 EMAIL I ' ^ARCH/DESIGNER NAME & ADDRESS STATE LIC # |\ STATE LIC # _-. _ CITY BUS LIC *7 /9 / (See. 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve,, demolish or repir any structure, prior to its issuance, also requires the applicants such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom,'aw the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {{500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued £$ I have and will maintain workers' compensation,^ required by Section 3700 of the Labor Code, for thejerforrr/ariee of the wprk for which this permit is issued My workers' compensation msurapee carrier and policy Insurance Co^X /^\ ^/t£ C>1 J& /ft vjS> O 0 't policy No \/ Expiratioi This section need V be completed if the permit is for one hundred dollars ($100) or less G Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages a^^mSvlo'einoTI^£ertlo1f3^fj$linhe Libqr code, Interest and attorney's fees / *-- E7\ <Z-/3-o "fr l\ IUI WIK^M UNO ^fCTIIMl 13 I3OUCU tors' compensation msurapee came m Pats/ y/^/ -5S r .^CONTRACTORSIGNATURE X .DATE. OWN E R - B U I L D E R . D EC LARA T I ON / hereby affirm that I em exempt from Contractor's License Law for the following reason O 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 for such projects with contractor(s) licensed pursuant to the Contractor's License Law) O 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 O Yes O No 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 (he proposed construction (include name address / phone /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 / contractors' license numbei) 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 / 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 nsk management and prevention program under Sections 25505,2553 i or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? G Yes G No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? G Yes G No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 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 representative 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 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 stones in height EXPIRATION Every permit issued by the Buijding OfficiaLunder the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days from the date of such permit or itthe building or worirayhorfzed'by suc|tpeTmifisltisj)ended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 08/27/2008 Permit* CB081125 Title PEDIATRIC SMILES-METAL SIGN @ Description FRONT OF BUILDING-NO ELECTRIC Inspector Assignment 1285 CARLSBAD VILLAGE DR Lot 0 Type SIGN Sub Type Job Address Suite Location OWNER CARLSBAD MEDICAL VILLAGE L P Owner Remarks Phone 7609086858 Inspector Total Time CD Description 38 Signs Act Comments Requested By TIM Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments m il N* OO 0c o o 3 71 > -1 1CO | ^^ D *•*%. ^O> (f Ol oo 00 m X o §> ™ m 2 |H om c 11 il c *b W 05 N W 3™ 1^ "1li Zm rH m t. o CT |— 1 C O -^ Q) N) -i 00 5T ^ °" OA\ V J §.» og- 03 Qi coQ- NJ <- O ~ o =oo Q3 CD (D a ~1 1j c H O I n c ii TJ ,3 cc'o O Q) * CO a- Q) D D 0) 5 K c 1 I CD ai fo o 0oo 05 C/) ZT —= > CT = Q) -i — W "D Qj CD 3co Q. CO CD oQ-CQ CD 0)i-t- — ?CT > 3 O c C CD •r DOCD -, Q- O CD O cr c Zi CQ City of' BUILDING DEPT 12" PLANNING BUILDING SIGNPERMITNO.PS 0^00~7O APPROVED BY p«cq^Ai >-t cu-^ DATE bhz/oKt" PRNOTICE:THIS DRAWINGREODUCED ISSO mC3 uiffisi N<" Q) K) -i 00 O- 03 O — 00 eg CD O O) CT Q) D D O) oo 00 3 CD tt> CQ" en btaie Of California ^M-L COm RACTORS STATE LICENSE BOARD ACTIVE I !CE NSE ( onaumer Attorn _,,,, 894273 , INDIV SIGNS 4BIZ C4T 04/30/2009 CALIFORNIA CONTRACTOR LICENSE NUMBFR BOND NUMBER SSGHS 4BIZ BOND EXPIRATION DA TF 02/28/2009