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Home My WebLink About1297 CARLSBAD VILLAGE DR; ; CB153718; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2015 Sign Permit Permit No: CB153718 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 1297 CARLSBAD VILLAGE DR CBAD SIGN 1561907002 $1,000.00 Lot#: 0 Construction Type: NEW KELLEN TADANO DDS-SIGN OVER ENTRY-ACRYLIC LETTERS-NOT ILLUMINATED Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CARLSBAD MEDICAL VILLAGE L P C/0 RUSS RIES CARLSBAD MEDICAL VILLAGE L P C/0 RUSS RIES P 0 BOX 1422 LA JOLLA CA 92038 760 443-1042 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 P 0 BOX 1422 LA JOLLA CA 92038 ISSUE:D 10/29/2015 RMA 10/29/2015 10/29/2015 $24.46 $0.00 $17.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.58 Total Fees: $41.58 Total Payments To Date: $41.58 Balance Due: Inspector: FINAL APPROVAL Date: J-'(-;(;, Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter oollectively 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 prooessing in a=rdanoe 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 oonnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or servioe fees in oonnection with this project. NOR DOES IT lf'PL Y to any fees/exactions of which au have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE DHEALTH DHAZMAT/APCD Building Permit Application Plan Check No. /14!5 Jltr City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value /l9tJ-if Carlsbad Ph' 760-<l02-2719 F '"' 760-<l02-8558 (J Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov AJ-Date j () /;rl_g_j Js-JiwPPP JOB ADDRESS SUITE#/SPACE#/UNIT# V IAPN I /&eri CO..«:/';:;bc& Uclft:t':iQ Pr ·--- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I:KLLL~· TA'lli;/I!D I CONSTR. TYPE I occ. GROUP bJtJ.f DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) c.__ ~ ~c~~·o&.t) &1;---)'r?nl'~~ () el(e"?"fJ:) Oc a..f j.)._"'-'1) c~-'1. cl~bccQ 11~7 I uo If{ I ';#)~(£.{} EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO NoD YES0No0 YESONoD APPLICANT NAME PROPERTYOWNER G }, L~C Primary Contact /JJ9 ·-, .:::. .,Ab.,d L ,1t4v:;. ~ ADDRESS ADDRESS p.,o ~~ex <;"8/0 CITY STATE ZIP CD STATE ZIP ... Cl2a"'t'S:c c:fLo 07-.,...;2,0 .$'<...~5"1? /Q PHONE I FAX PHONE I FAX -z 6 c · vc.r s. -~/o 'YJ..... 760 ~J\.)._-Y¥'7 Y EMAIL EMAIL ctf e ~ .J:;' lo\~ I .INC@) c otr::: r r.Je I- DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE rAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Busmess and Professions Code: Any City or County which requ1res a permit to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts 1ssuance, also requ1res 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}). Workers' Compensation Declaration: I 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 permit is issued. D 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. Policy No. Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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 (&100,000), in addition to the ,cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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, Bus1ness and Professions Code The Contractor's License Law does not apply to an owner of property who builds or 1m proves thereon, and contracts for such projects w1th contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Profess1ons Code for th1s reason ,.i.., 1. l~lly plan to provide the mater labor and materials for construction of the proposed property improvement. DYes .J...:.!No 2 I have I ave not} signed an appl1cat1on for a building permit for the proposed work 3 I av contracted with the following person (firm) to provide the proposed construction (Include name address I phone I contractors' license number) fl..l/...1 cfl 'J.J.S 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 I address I phone I 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 I address I phone I type of work): 0AGENT DATE I I certify that I have read the application and state that the above information is correct and thatthe 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 properly 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 stories in height. EXPIRATION: Every pennitissued by the Building Official under the i of this Code shall expire by limitation and become null and void if the building or'Mlrl< authorized by such permit is not commenced within 180 days from the date of such penn it or if the building by such permit is suspended or abandoned at any time after the 'Mlrl< is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE DATE /'(:;, /zC? ~ ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCIE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY !Commercial Projects 0 n ly I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office lise Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION MAIL I FAX TO OTHER: CHANGE OF USE I NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Permit#: CB153718 Type: SIGN Date -~~11_spection Item ~---·--------- 03/04/2016 38 Signs 03/04/2016 38 Signs 03/04/2016 39 Final Electrical 03/04/2016 39 Final Electrical 03/02/2016 38 Signs 03/02/2016 38 Signs 03/02/2016 39 Final Electrical Monday, March 07, 2016 Inspector Act Rl PB AP Rl PB AP Rl PO co Rl KELLEN TADANO DDS-SIGN OVER ENTRY-ACRYLIC LETTERS-NOT ILLUMIN Comments AM PLEASE AM PLEASE No one around at 10:00 Page 1 of 1