HomeMy WebLinkAbout1905 CALLE BARCELONA; 211; CB120901; Permit05-14-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CBl 20901
Butlding Inspection Request Line (760) 602-2725
Job Address
Permit Type
Pa,''cel No
Valuation
Reference #
PC#
Project Title
1905 CALLE BARCELONA CBAD St 211
SIGN
2550120400 Lot# 0
$3,200 00 Construction Type NEW
BODYROK NEW ILLUM SIGN
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
05/14/2012
JMA
05/14/2012
05/14/2012
Applicant
ARTISTIC SIGN GROUP
1329 CLAY AV
VENTURA CA
93006
310-897-5722
Owner
FOURTH QUARTER PROPERTIES XXX LLC
C/O THOMAS TROPEA
45 ANSLEY DR
NEWNAN GA 30263
Building Permit
Add'l Building Permit Fee
Plan Check
Add1 Plan Check Fee
Electncal Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$68 07
$0 00
$47 65
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $115 72
Total Fees $115 72 Total Payments To Date $115 72 Balance Due $0 00
Inspector
FINALAPPROVAL
7- £7" (% Date Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions tiereafter collectively
referred to as 'lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions 11 you protest them, you must
follow the prolest procedures sel forth in Government Code Section 66020(a), and file the protest and any other required information with the Cily Manager for
processing in accordance with Carlsbad Municipal Code Secfion 3 32 030 Failure to timely follow ttiat ptocedute will bar any subsequenl legal action to attack,
review set aside, void, or annul their imposition
You are hereby FURTHER MOTIFIED that you/ riphi 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 lo any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the slatute of limitations has oreviously otherwise expired
CITY OF
Building Permit Application
1635 Faraday Ave , Carisbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www carlsbadca eov
Plan Check No.
Est. Valued "J^Oo
Plan Ck. Deposit
Date^Y/y//^ SWPP
JOB ADDRESS
* ' |L0T# ^ I PHASE irioFUNITS |#BE0ROOMS
SUITE#/SPACE«/UNIT#
CT/PROJECT # # BATHROOMS JANTEUSINESS NAME , CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Areafs)
EXISTING USE PROPQ; USE GARAGE (SF) PATIOS ISF) DECKS (SF) FIREPLACE
YESD #_ Noa
AIR CONDITIONING
YES •NOD
FIRE SPRINKLERS
YES •NOD
APPLICANT NAME fPn/natjLConfacf)
ADDRESS
nmatv^oni^ct) I
/ <Uiiy A^^-
APPLICANT NAIVIE (Secondary Contact)
ADDRESS
idary Contact)^ J
CITY STATE ZIP V STATE A ^IP tyO
PHONE FAX PHONE
~ o tMAito^
FAX
EMAIL " ' J ' ~ ~ • 7 >^ a /LOOP. cuM^
PROPERTV OWNER NAME 1 iirMTiii M , f CONTRACTOR BUS NAIVIE
ADDRESS
^/^t^ C^ (fe ^^^^^ '^^
ADDRESS {'^'2^^ c^LA~y M-^g--
STATE ZIP CITY CITY
: V TFAX —— PHONE FAX PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS
EMAIL" ' , , ^ •> >,
STATE UC# ' I CUSS jCI r (Sec 70315 Busmess and Professions Code Any City or County which requires a permit to construct alter improve, demolish or repair any structure, prior to its issuaricel also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe 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 forthe alleged eJtemption 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 Declaration I hereby affirm under penalty of perjury one ofthe foltowing declarations
• I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code forthe performance of the work for which ttiis permit is issued
-J3^I have and will maintain workers' compensation as required by Section 3700iOf the Labor Code for the performance of the work for which this permit is issued My workers' compensation insurance carrier and pohcy
/ number are InsuranceCo ^^-^^•e t^l^^ Policy No <~ Tl II ' Tru"! Expimtmn Date -
This section need not be completed ifthe permit is for one hundred dollars ($100) or less ^ (^GQ
n Certificate of Exemption I certify that in the performance of the work for which this permit is issued 1 shall not employ any pet&oti m any manner so as to become svibject ID the Workers' Compensalion Laws of
California WARNING Failureto secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addrtion to the cost of compensation, damages as provided form Secjron 3706 of theLjtUJMOtferinterestand attorney's fees
^gf CONTRACTOR SIGNATURE / /vy"^^ ^.^--CTSGENT DATE $ // V//^"^^^
/ hereby affirm lhat I am exempt from Contractor's Ucense Law for the following reason
a I as owner of Ihe property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered foi sale (Sec 7044, Busmess and Professms Code Tlie Contractor s
License Law does not apply fo 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 II, 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 olsale)
• I, as owner of the property am exclusively contracting with licensed contractors lo construct the project (Sec 7044 Business and Professions Cotie The Contractor s License Law does not apply to an owner of
property who builds or improves thereon and conlracis for such projects with contractor[E) licensed pursuant to the Contractor s License Law)
• 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 properly improvement • Yes • No
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; ptione I contiaclors' license number)
4 I plan to provide portions of the work but 1 have hired the following person to coordinate, supen/ise and provide Ihe major work (include name / address / phone / contractors' license number)
5 I will provide some ol Ihe work, bul I have contracted [hired) the following persons to provide the work indicated (include name / address / phone / type of work)
>eS'pROPERTY OWNER SIGNATURE ENT DATE
Is the applicant or future building occupantrequired lo submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 ofthe
Presley Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future buildmg occupant required lo obtain a permit from the air pollution control district or air quality management distncf • Yes O No
Is ^e facility lo be constmcted within 1,000 feet ofthe outer boundary of a school site' O 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
I hereby affirm that there is a constnjction lending agency for the performance of the work this permit is issued {Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certitytJiatl have read the application and state that the above mfomiabon IS conect and that the infoimabon on the plans IS accurate I agree to complywith all Cityordmances and State laws relabngto building construcbon
I hereby authonze representative of the City of Caiisbad to enter upon the above menfioned property for inspecfion 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 CrfY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA peimit s required for excavations over 5 0 deep and demolrfion or constnjc&on of sfiuctures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitafion and become null and void rf the building or worit authonzed by such pemit is not commenced \Mthin
180 days fi'om the date of such permit or if the building or worti aulhonzed by such pemiit is suspendedjiLatiandoned at any fime after the work is commenced for a penod of 180 days (Secfion 106 4 4 Uniform Building Code}
^APPLICANT'S SIGNATURE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only}
Fax (760} 602-8560, Email www buildinq@carlsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0# (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
• PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL/FAX TO OTHER
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^efAPPLICANT'S SIGNATURE DATE
Inspection List
Permit# CB120901 Type SIGN BODYROK NEW ILLUM SIGN
_Date Inspection Item Inspe^or Act Comments
09/04/2012 38 Signs PD AP
08/31/2012 38 Signs PD CA
Monday, January 28, 2013 Page 1 of 1