HomeMy WebLinkAbout1838 MARRON RD; ; CB032856; Permit-3U1
10-16-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB032856
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1838MARRONRDCBAD
SIGN
Lot#: 0
$6,200.00 Construction Type: NEW
DOLLAR TREE 2 ILLUMINATED
WALL SIGNS
Applicant:
UNITED SIGN SYSTEMS
Owner:
Status: ISSUED
Applied: 10/16/2003
Entered By: SB
Plan Approved: 10/16/2003
Issued: 10/16/2003
Inspect Area:
6692 IG/16/G3 0002 01 02
CGP 146.37
4732 KIERNAN CT 95368
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
$76.59
$0.00
$49.78
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$146.37
Total Fees: $146.37 Total Payments To Date:$0.00 Balance Due:$146.37
EXPIRED PERMIT
PERMIT MAS rr^RCD IN ACCORDANCE WITH U.8.C.
SECTlOiM 106.4.4
SIGNATUREDATE
RNAL APPROVAL
.DATE,
CLEARANCE.
PERMIT APPLICATION
CITY OF«CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK N
EST. VAL.
Plan Ck. Deposit
Validated By.
Date
Address (include Bldg/Suite *)Business Name (at this address)
Legal Description Lot ubdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #.
/t
Existing Use
.Z- ,M-w\jv\ •v
.
r-co'
Proposed Use
Description of Work # of Bedrooms t of Bathrooms
3 cyV\V\
City State/Zip Telephone #Name ' ' Address
$^Gmw^Qm®wpiwmmi^^^ •* <*j -•**-- j>--, •** -
(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 ($5001)./" I _ i _l -^*» r~ . *•*""* . ^ T _ / , -^ «^ ^7 \ i s~~^J*— £•"» \ •—J „ S^\* (~^*> ——ry / C', £4/^>c- kL i f- Y2 v\g\ vv '•—i ;^>«=t i \ «^ c. \~G*- v^ ^gp y
Name
State License #
Address
LicenseClass
City State/Zi
City Business License #3frFCTcf
Designer Name
State License #
Address 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.
|M 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
issbed. My worker's compensation insurance carrier and policy number are:
Insurance Company ^~& \ i Policy No.. ) k)Expiration Date_
(THIS SECTION NEED NOT BE COMMUTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
Q 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 addrtipnto the, cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ^K ^SU^ DATE /£?-/£-. ~~C^
I hereby affirm that I am exempt from\)he 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).
Q 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).
l~l 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. f~l YES f~lNO
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 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
«QMPLETjWHI$,SECTIO«F0»AW!W^^ < _v
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 C] NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D 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. 30971!) 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 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 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 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 commenced^for^pprioj pf 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad
March 2, 2004
U S S UNITED SIGN SYSTEMS
4732 KIERNAN CT
SALIDACA 95368
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: SIGN
Building Department
Permit Number: CB032856
Issue Date: 10/16/03
ADDRESS: 1838MARRONRD
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 4/13/04.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 within 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit.
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days, (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
PAT KELLEY
Building and Code Enforcement Manager
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-27OO • FAX (76O) 602-8560
CERTIFICATE OF LiAbiu i Y
i-Ireland - Turlock
Canal Dr.
x 3*77 Lic#0596517
eiock CA-95381-3277
Ihone:203-667-0995 Fax:209-667-7142
INSURED
Johnson United/ Inc.4732 Kiernaii Avenue
Salida CA 95368-9316
_L
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A; financial Pacific Ins Co
INSURERS: State Compensation Ins. Fund
INSURER C:
INSURER D:
INSURERS
COVERAGES
THE POUCIES OF INSURANCE UST60 BROW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONOmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iFSH;LTR
A
A
B
A
TYPE OF INSURANCE
GENERAL UABIUTY
X"—COMMERCIAL GENERAL LIABILITY
DCLAWS MADE 1x1 OCCURi i
.
SENT. AGGREGATE LIMIT APPLIES PER
HPOUCYPIJECT FllOC
AUTOMOBILE UASIUTY
X
"x_
X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
PHYSICAL DAMAGE
OARAQfiUABUTY
"~| ANY AUTO
EXCESS UABBJTY
"^ OCCUR fl CLAMS MAPS
DEDUCTIBLE
RETENTION I
WORKERS COMPENSATION AND
EMPLOYERS1 UABUTY
OTHER
Rented/tease Equip
POLICY NUMBER | BJxeajJaQoffft* 1 'tufiPvlmmorm" 1 UMTS
16S928A
165928A
162318303
165928A
07/20/02
Of/20/02
04/01/03
07/20/02
07/20/03
07/20/03
04/01/04
07/20/03
EACH OCCURRENCE SlOOOOOO
FIRE DAMAGE (Any one UTS) JJ 50000
MED EXP (Any one person)
PERSONAL ft ADV INJURY
GENERAL AGGREGATE
PRODUCTS • COMP/OP ACS
COMBINED SINGLE LIMIT
(Ea acckleni)
BODILY INJURY
(Pwpereoo)
BODILY INJURY
(Peraatideni)
PROPERTY DAMAGE(Ptraecidenl)
AUTO OMLY . EA ACCIDENT
fJTHBBTHJIM , "^?? .AUTO ONLY: A66
EACH OCCURRENCE
SSOOO
SlOOOOOO
s 2000000
s 2000000
t 1000000
s
s
s
s
t
s
s
AGGREGATE ^S
S
XiTORYUMITSl 1 ER
£L EACH ACCroeNT
EJ., DISEASE- EA EMPLOYEE
EJ_ DISEASE- POLICY LIMIT
s 1
s 11
slOOOOOO 1
SlOOOOOO 1
SlOOOOOO 1
Limit 550,000 1
Ded. S500 1
DESCRIPTION OFOPeiWTOI*S^OCA.TK3NSflreH)CLeS®(CLIJSK)NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS •
CERTIFICATE HOLDER j V | AODmoHM. iNSunett! INSURER LETTER; .CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCII3 BB CANCELLED BEFORE THE I
OATETHEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAO. JUL.OAY5V
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO !
IMPOSE NO OBUSATON OR L>6njTY OF ANY KIND UPON THE INSURER. ITS AGENTS C
REPRESENTATIVES.
ACORD 25-5(7/97)ACORD CORPORATION 1S
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