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Home My WebLink About1905 CALLE BARCELONA; 218; CB060128; Permit01-17-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB060128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1905 CALLE BARCELONA CBAD St: 218 SIGN 2550120400 Lot#: 0 $2,500.00 Construction Type: NEW ASHTANGA YOGA- ILLUM WALL SIGN Status: ISSUED Applied: 01/17/2006 LSM 01/17/2006 01/17/2006 Entered By: Plan Approved: Issued: Inspect Area: Applicant: FORD SIGNS STEE 1304N. MELROSE VISTA CA 92073 760-631-1976 Owner: BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/O DELOITTE TAX LLP PO BOX 131071 CARLSBAD CA 92013 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 $45.79 $0.00 $29.76 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $75.55 Total Fees:$75.55 Total Payments To Date:$75.55 Balance Due:$0.00 Inspector FINAL APPROVA Date: A- <T"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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL gPlan Ck. DepositValidated By IDate IAddress (include Bldg/Suite #)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed UseDescription of Work SO. FT.#of Stories # of Bedrooms # of Bathrooms Name Address City :for'6wner State/Zip Telephone #Fax # Name Address City State/Zip Telephone # Name Address City State/Zip Telephone # (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 [8500]). Name State License # Address License Class City State/Zip City Business License # [ Telephone # "Q ^ 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. &, 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 worker's compensation insurance carrier and policy number are: ^ Insurance Company C--* IL/^-C^fVOOtV, *-"*•"^ ^ Policy No. C/'^-fMH* *3u/ Expiration Date *" {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 o become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and thai subject an employer to criminal penalties and civil fines up to one hundred addition to/the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. (^SIGNATURE /£-J~~f £ ^< , I hereby affirm that I am exempt from the 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). D 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. Q YES QNO 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 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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES O 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. i^"£iiNirRra^ >. -•.•/• • • ,- ;.: • ••= .-•'•..:••••.•• '.;V. . V •-.<••' ^:\:^>4V./ -' ..'-'.'-^.V. V. I hereby affirm that there is a construction lending agency for the performance of the work for which 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 representatives of the CitV 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 daysjrom 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 commences foj^MTiod of/180aays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE $**r-*7&SC*?lst&4~" DATE /" —/ ~7& WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/04/2006 Permit* CB060128 Title: ASHTANGA YOGA- ILLUM WALL SIGN Description: Inspector Assignment: Type: SIGN Sub Type: Phone: Job Address: 1905 CALLE BARCELONA Suite: 218 Lot 0 Location: Inspecto^ OWNER BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L Owner: Remarks. IS SIGN UP? T.I. PERMIT IS FINAL Total Time:Requested By: CHRISTINE Entered By: CHRISTINE CD Description 38 Signs Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments sisSE°!S;2-m§O88 ill353mo = !Ir-7" h -H 10" £, E D Dint H D Zm D -c 0in D nmz Hm3 60 1 fi^! « I 3 D 1 a 131SUl '3.S. ? 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Bo* 26906 rraano CA 93729-6906 Fhona: 559-447-4600 (MURED Tord Signa tno1J10-AJR. Milrosa DrivaVI eta CA 93083 DATI (MWDomrvv) OB/17/05 THW CERTIFICATE tt IS9UED A8 A HATTER OF INFORMATION ONtV AND CONFER* NO RIGHTS UPON THE CERTIFICATE HOLDER. THW CERTIFICATE OOE» NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED IV THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURKRA oeldtt lk«l* XnmuMt C«*p. INSURER B: ClaMMon Mueatl It,*«nuiM roURSRC; INSURER 0: INSUWA6: NAK* COVERAGE* THE poucitt OP msuwNce uart i amow HAW ae« tssuEo TO me mtuMBQ M^^ ANT RNUmaMT, TEAM OR OONC flTOH OF AW COOTMCT OR OTOB* OOCUMeHTWFTMRElPBCTTO WflOITHttCWTFICATBIlKYBCIBSUEDOR OEKL AOGWOATE UWT AIWC8 PER: nwr*Qafc_r~|ioc COMMERCIAL (MNBPfc A UABUTY CLAMBMAW [^ OCCUR ttabila C8PS023964 MED EXP it*t am ponwn) PEMW4M.8AWWJUKY PRODUCT* - COMTTCP AGO 1 5000 1 1000000 S 2000000 S 2000000 AUTDMOau UAMLJTY ANY AUTO CBP8023964 05/09/05 05/09/06 $1,000,000 9CWDULBOAUTO8 H«D AUTOS NQN4WNB) AUTOS (Ptrpmen) •MVMUABUTrSWITAUTO OVHUt THAW AUTO AUtO QW.Y - 1A ACdOCKT $ 200000 CBP8023964 05/09/05 05/09/06 1 200000 * 200000 eXCUSMMKLLtUAML'TY IOOCUH | ICL-JMBMAOE nDEDUCHBLE Rdwnow s EACHOCCURRtMOi WMBOM COUnN»4TION AND IWJlleft AN/01KR0030977 05/09/05 05/09/06 XlTOHYUMITll ELL EACH ACCPPfT d-PUBAlfi : teeMPLOYBtf f 1000000 LL.Ott*«e-raucvLJMn-1 (1000000 s 1000000 OTHBt Coaaareiai Appllua Saetion GBP8023964 C8P8023964 05/09/05 05/09/05 05/09/06 05/09/06 *A 10 day notioa of cancellation will apply for non-paymwnt of praviun* Ra: Kianon Math/ Reaciing, Succ«*» in Oooanaid«, CA CfcRTFlCATI HOLDER CANCELLATION TRECRBA Th* CraativQ Kdg* ICE I, IOC 837 R«dNoed Str*»t M»nt%no XL 60950-9247 OAttTmtKiF,n««siM«MMa«vmj.«MouvQftTOMML 30* NOTm TO T« CWTWeATB MOtQOT NAWD TO THB L tFT, atfT PAN.URE « DO M 3HAU lUKMIft NO OMttMBH OR UAMUn W AWT HMD WON TW M3ORW. ff» A«Bn»m ACORD 26(2001/06)® ACORD CORPORATION 1MK