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HomeMy WebLinkAbout1905 CALLE BARCELONA; 217; CB060687; Permit03-13-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB060687 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: FORD SIGNS STEE 1304N. MELROSE VISTA CA 92073 760-631-1976 1905 CALLE BARCELONA CBAD St: 217 SIGN 2550120400 Lot#: 0 $1,100.00 Construction Type: NEW SUPER SLOW ZONE ONE ILLUIMINATED WALL SIGN Status: ISSUED Applied: 03/13/2006 MDP 03/13/2006 03/13/2006 Entered By: Plan Approved: Issued: Inspect Area: Owner: BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/0 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 $23.01 $0.00 $14,96 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 TOTAL PERMIT FEES $57.97 Total Fees:$57.97 Total Payments To Date:$57.97 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: 7 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 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. EST. Plan Ck. Deposit Validated By Date Address (include Bldg/Suiie #)Business Name lat this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Name 3, -APPLICANT Address Agent for Contractoi City State/Zip Telephone #Fax # Address City State/Zip Telephone # JO_pEflTY OWNER Name 5. CONTRACTOR - COMPANY 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 of Section 7031 .5, by any applicant for a permit subjects the applicant to,a civil penattvof not more than five hundred dollars 1*5001).usb ___ fa Name State License 8 Address License Class c-us City Designer Name Address State License ff 6. WORKERS' COMPENSATION 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. H*^ 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,eompBnsation insurance carrier and policy number are: —J-— I Insurance Company { A|UMJiJJLA L IVX3^"![3j2Xt2iLfi_ Policy No.Q\jfl^£QaVVTT Expiration Date Ql2/Of_C? (THIS SECTION NECD NOT BE COMPLETED ir THE PtRmIT IS FOR ONi. HUNDRED DOLLARS ($1001 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 addittorp» the coat of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney'* fees. SIGNATURE "zkl^j^Q-Lv--- \*^-^_^^ DATE 7. OWNER-BUILDER DECLARATION 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 ate 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 G NO Is the applicant Of future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 8. CONSTRUCTION LENDING AGENCY 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 9. APPLICANT CERTIFICATION , 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 365 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 th$ work is commenced for a period of 1§0 days (Section 106.4.4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/25/2006 Permit* CB060687 Title: SUPER SLOW ZONE Description: ONE ILLUMINATED WALL SIGN Inspector Assignment: Type: SIGN Sub Type: Phone: 7606311936 Job Address: 1905 CALLE BARCELONA Suite: 217 Lot 0 Location: Inspector: OWNER BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L Owner: Remarks: Total Time: CD Description 39 Final Electrical Requested By: STACY Entered By: JANEAN Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments E D J J!H aiuiiuijOi fl-i0ii0.1 ale u O o £? III! Q o - S o,,£y " D O OO UJ GU:Den 11" 4.5- i 111! 5g 5J 2*Is0. - •a. % O 2080, CERTIFICATE OF LIABILITY INSURANCE CSR LEFORDS-1 09717/05 ;ERJoaquin Valley,Insurance N. First St. >. Box 28906 .no CA 93729-8906 559-447-4600 Ford Signs Inc1310-A N. Melroae DriveVista CA 92083 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 1NSURERA: Golden Eagle insurance INSURER B: Clarendon National Insurance ERAGES j POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING Y PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. P6L1C"Y EFFECTIVE T^OUICYlIHSROL TYPE OF INSURANCE j POLICY NUMBER 1 DATE iMMIODfYY) EACH OCCURRENCE nc/nnttof UAMAtit ...,,^05/09/06 PREMISES (Ea occurence 100000 5000MED EXP (Any one person) PERSONAL & AOV INJURY GENERAL AGGREGATE PRODUCTS - COMP;OP AGG COMBINED SINGLE LIMIT 05/09/06 <£• «****» BODILY INJURY{Per person) 8ODK.Y INJURY (Per accident) PROPERTY DAMAGE {Par accident) AUTO ONLY - EA ACCIDENT OTHER THANAUTO ONLY: EACHI OCCURRENCE AGGREGATE $1(300000 E.L. DISEASE - EA EMPLOYE 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE j_Xj OCCUR Mobile Equipment CBP8023964 05/09/05 GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY X ( ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS CBP8023964 05/09/05 GARAGE LIABILITY ANY AUTO OTHER THAN AUTO CBP8023964 05/09/05 05/09/06 EXCESS/UMBRELLA LIABILITY OCCUR [~~] CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY ANY PRQPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 01KR0030977 05/09/05 X VTIV* -3I/M U" JTQQY LIMITS 05/09/06 j E.L EACH ACCIDENT OTHER Commercial Applica Property Section CBP8023964 CBP8023964 05/09/05 05/09/05 05/09/06 05/09/06 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *A 10 day notice of cancellation will apply for non-payment of premium* Certificate holder is named additional insured.Project: Fairway Corporate Center, 5540-41 Femi Court in Carlsbad; Tri-City Corp. Towers, 3142 & 3156 Vista Way Oceanside, CA; 5931 Priestly Drive, Carlsbad; 2052 Corte Del Nogal-Carlsbad; 1800 Thibodo Road Ste. 320 - Viata,CA CERTIFICATE HOLDER CANCELLATION DEI, LLC P.O. Box Vista CA GREEPAR and Green Properties 1388 92085 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATtOr. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 4)fTH(?Bi?aXHHll\r>*WAJlVF „-''"? j*1*' / j'' -.-.,-—-- ^=^^^^^^^ACORD 25 (2001/08)©ACORD CORPORATION 1988