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1695 FARADAY AVE; ; CB132475; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2013 Sign Permit Permit No: CB132475 Building Inspection Request Line (760) 602-2725 Job Address:1695 FARADAY AV CBAD Permit Type:SIGN Status:ISSUED Parcel No:2121303400 Lot #:0 Applied:10/09/2013 Valuation:$1,550.00 Construction Type:NEW Entered By:LSM Reference #:Plan Approved:10/09/2013 PC #:Issued:10/09/2013 Project Title:SMAC -INSTALL ONE NON -ILLUM Inspect Area: WALL SIGN Applicant:Owner: SYSTEM MACHINES AUTOMATION COMPONENTS CORP SYSTEM MACHINES AUTOMATION COMPONENTS CORP SAOKI MATSUMOTO C/OSMAC 5807 VAN ALLEN WAY 5807 VAN ALLEN WAY CARLSBAD CA 92008 CARLSBAD CA 92008 760-929-7575 X 67 Building Permit $39.88 Add'I Building Permit Fee $0.00 Plan Check $27.92 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $67.80 Total Fees:$67.80 Total Payments To Date:$67.80 Balance Due:$0.00 FINAL APPROVAL Inspector:Date:ft -1 '/?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 project.NOR DOES IT APPLY to any fees/exactions of which you have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. ....,err memmweisemo ime • 0THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[_]PLANNING [ENGINEERING OBUILDING ©FIRE )HEALTH DHAZMAT/APCD /A\'.Building Permit Application Plan Check No. 0....e. (5 c21-7 C. - ,,..- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value t 5-5-7) CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 1 0141 I 1 3 SWPPP JOB ADDR_P-S SUITE#/SPACE#/UNIT#APN -/695- tfetdr.,hti-tt .[nom-/+Of ?oS -- CT/PROJECT #LOT #UNIT BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP trjektadvfLeS ey DESCRIPTION OF WORK:include Square/Feet of Affected Area(s)CY.67Atq/06-ir—pyr•. .----,/ J.-yiSl'ithil et MaPind 5/9.14-(.1e.g75 afft. #.04 eamiit.f..&4/)sii. ell .1-1.t.e vv 4.4(. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOft NOD YES ENO0 YES:3 No0 APP ICANT NAME (Prima.y Contact),155.1.APPLICANT NAME (Secondary Contact) froPA '11144-I SIA /14.071. A DR.r.SS ADDRESS 6707 VIIN Ai -t-ri CITY STATE ZIP CITY STATE ZIP 97g5X14V-a STATE_ 9'.22aoer PHONE AC FAX PHONE FAX 760 -9.2?-757.5 67 -7.40-129-75-2P EMAIL EMAIL. d<e1•10h (et) Lciria —016-.0 •cfrn P3OPERTY OWNER NAME _CONTRACTOR BUS. NAME`//-441C ilAq44/1.4V 746f1-0/24.hyl edhla91404.DRESS C- 61A1ZESSseel pity/ /4z-&:'/I1 kvAyCITYSTATE ZIP CITY STATE ZIP Ai 6.112 CA 9;24rocr PHONE FAX PHONE FAX ideV '2-q--..-73-7c 766r-.I.?s-'7.5--.49j> EMAIL EMAIL /7)144 SinaC---MC GI •Calkn ARC /DESIGNER NAME & ADDRESS STATE LIC.#STATE LIC.#CI 5.SS CITY BUS. LIC.# (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter, 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 theBusiness 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: BI 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, 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 Tbsection need not be completed if the permit is for one hundred dollars ($100) or less. 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 (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. AK CONTRACTOR SIGNATURE ElAGENT DATE OWNER -BUILDER DECLARATION I hereby affirm that (am exempt from Contractor's License Law for the following mason:VI,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). 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).0 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.[]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): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name / address / phone /contractors' license number): 5.Iwill 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): £PROPERTYOWNER SIGNATURE DAGENT DATE (01?7-2-o p —._.....umwourrum rti• 4. .,:OIVIPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY wia 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?Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes 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. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATIONAPPLICANT Icertifythatlhave read the application and state thatthe above Information is correct and that the infonnation on the plans is accurate.Iagree to comptywith all City ordinances and State laws relating to building constiuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THEcm(OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offi:ial under the provisions ofthis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedforaperiod of 180 days (Section 106.4.4 Uniform Building Code). c....... .A5APPLICANT'SSIGNATURE ,44.4A - 714)DATE /.61/02.0 / 3 I 'TOP; .,STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fak(760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. COQ: (Office Use Only) CONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA 'P•HONE FAX E•MAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.i) ASSOCIATED CB* MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.1.)NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER:CHANGE OF USE/NO CONSTRUCTION LAPPLICANT'S SIGNATURE DATE ..----- Inspection List Permit#:CB132475 Type:SIGN SMAC -INSTALL ONE NON -ILLUM WALL SIGN Date Inspection Item Inspector Act Comments 10/30/2013 38 Signs RI 10/30/2013 38 Signs PB AP 10/25/2013 38 Signs RI 10/25/2013 38 Signs PB NR • Thursday, October 31, 2013 Page 1 of 1 _