HomeMy WebLinkAbout1330 POINSETTIA LN; ; CB081141; Permit06-16-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB081141
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
1330 POINSETTIA LN CBAD
SIGN
0000000000 Lot # 0
$5,000 00 Construction Type NEW
CARVARY CHAPEL SUSPENDED
SIGN IN BRIDGE OPENING AS CHURCH ID SIGN
Status
Applied
Enteied By
Plan Approved
Issued
Inspect Area
Applicant
NORTH COAST CALVERY CHAPEL
7188AVENIDAENCINAS
CARLSBAD CA 92008
Owner
ISSUED
06/16/2008
KG
06/16/2008
06/16/2008
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
$6675
$000
$4339
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $11014
Total Fees $11014 Total Payments To Date $11014 Balance Due $000
Inspector /H
FINAL APPROVAL
Date l 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 fees in connection with this pro.ect 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 limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad, CA 92008
76(5-602-2717 / 2718 / 2719
Fax 760-602-8558
Building Permit Application
Plan Check No.
Est. Value 6 60 &
Plan Ck. Deposit
SUITE#/SPACE#/UNIT#
CT/PROJECT # LOT #PHASE # I # OF UNITS f # BEDROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK (Please describe present use and proposed use;
BUILDING AREA (SF)ADDITION AREA (SF)FIREPLACE
YESD #
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES O NOD
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME
CONTRACTOR BUS NAME
ARCH/DESIGNER NAME & ADDRESS
(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 state
licensed pursuant to die provisions of the Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Profession! Code} or that he is exempt therefrom, and the basis for the alleged exemption
Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Any violation of
Workers' Compensation Declaration I 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
O 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 earner and policy
number are
Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
a 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 of the Labor code, Interest and attorney's fees
JSS CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor's License Law for the following reason
a 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)
Vl, 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
/ whs-builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
d I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement a Yes ONo
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 the proposed construction (include name address / phone / contractors' license number)
I 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 number)
5 I will provide some of the work but I have contracted (hired) the followingjjprsons to provide the work indicated (include name / address / phone / type of work)'
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act? DYes ONo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G Yes a 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 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 authonze 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA. An OSHA permit is required for excavations over 5 O1 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 authonzed by such permit is not commenced within
180 days from the date of such pemnitor if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Buildma
Code)
IICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 10/14/2008
Permit# CB081141
Title CARVARY CHAPEL SUSPENDED
Description SIGN IN BRIDGE OPENING AS CHURCH ID SIGN
Inspector Assignment
1330 POINSETTIALN
Lot 0
Type SIGN Sub Type
Job Address
Suite
Location
APPLICANT NORTH COAST CALVERY CHAPEL
Owner
Remarks
Phone 8582541068
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By TOM
Entered By KATHY
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
www mtghnc com
Corporate *
2992 E LaPalmaAve
Anaheim. CA 92806
Tel 7146322999
Fax 7146322974
Dispatch 800 491 2990
MTGL Project #.
Permit #
Report #
I
San Diego/Imperial County
Ste A 7313 Carroll Rd Ste G
San Diego, CA 92121
Tel 8585373999
Fax 858 537 3990
Dispatch 8888445060
DAILY INSPECTION
REPORT
Inland Empire
14467 Meridian Pkwy: Bldg 2-A
Riverside. CA 92518
Tel 951 653 4999
Fax 951 653 4666
Dispatch 800 491 2990
DSA/CITY File #.
PG_DF.
DSA/OSHPDAPPL#_
DSA/LEAI
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection Reports of non-compliant conditions must be distributed immediately
Separate reports shall be prepared for each type of special inspection, on a daily basis Each report shall be completed and signed by the special inspector conducting the inspection
. i\<x sv DATE
ARCHITECT TIME ARRIVED TIME DEPARTED
ENGINEER TRAVEL TIME LUNCH TIME'
CONTRACTOR
T?
SUB CONTRACTOR
J\ Ce \
INSPECTION ADDRESS ADDRESS OF PROJECT
TYPE OF INSPECTION
r ENGINEERED FILL
H FOUNDATION
~1 BACK FILL
~. BATCH PLANT
I. PT CONCRETE
1 SHOTCRETE
I CONCRETE
. MASONRY
I : HIGH STRENGTH BOLTING
n WELDING
n SHOP WELD
r FIREPROOFING
jS ANCHOR/DOWEL
L NDE FIELD
J NDESHOP
... CEILING WIRE
DSA/OSHPD/PROJECT
APPROVED DOCUMENTS
AVAILABLE
APPROVED PLANS Y'<T N
SOIL REPORT YiH IM LI SPECS YD N_
APPROVED SHOP DRAWING YL N r
MATERIALSj USED BY CONTACTOR (INCLUDE RESEARCH REPORT NO OR MATERIAL TEST REPORTS)
'* '' V
/ t
v
CONTRACTORS EQUIPMENT ' MANPOWER USED
AREA GRID LINES PIECES INSPECTE
(X)o
STRUCTURAL NOTES DETAIL OR RFIS USED
REMARKS INCLUDING MEETINGS
C f\ ^'^o C
a D'OU-"
»'> h '/o r A) , Pl-s
REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE
THE WORK WASi^- WAS NOT U
Inspected m accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents
MATERIAL SAMPLING WASIH WAS NOT n N/A 1
Performed in accordance with DSA/OSHPD/PROJECT approved documents
cc Project Architect Contractor
Structural Engineer Building Department
DSA Regional Office Owner
School District
THE WORK INSPECTED MET }f DID NOT MEET _l
THE requirements of the DSA/OSHPD/PROJECT approved documents
Samples taken
Weather _ ?u^^ W Temp £ t> i "I
Signature of Special Inspector
Print Name
Certification #
Verified by