HomeMy WebLinkAbout1905 CALLE BARCELONA; 218; CB122681; Permit12-14-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB122681
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
1905 CALLE BARCELONA CBAD St 218
SIGN
2550120400 Lot #
$2,000 00 Construction Type
YOGA SIX= INSTALL 1 ILLUM
WALL SIGN
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/14/2012
LSM
12/14/2012
12/14/2012
Applicant
FORD SIGNS
1605 ORD WAY
OCEANSIDE CA 92056
760 631 1936
Owner
T-C FORUM AT CARLSBAD LLC
C/O TI/\A-CREF
4675 MACARTHUR CT #1100
NEWPORT BEACH CA 92660
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electncal Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$48 40
$0 00
$33 88
$0 00
$31 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $11328
Total Fees $113 28 Total Payments To Date $113 28 Balance Due $0 00
Inspector
FINAL AF?PR.OVAL
Date ^'
ARPROV/i
Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition' ot fees dedications, reservations, or other exactions hereafter collectively
referred lo as "fees/exactions " You have 90 days from ttie date this permit was issued to protest imposition of these fees/exaclions 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 thai procedure will bar any subsequent legal action lo 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 Ihis project NOR DOES IT APPLY to any
fees/ex5(;tions of which vou have previouslv be^n oiven a NOTICE simi|gr to this, or as to which the Statute nf limitations has previously otherwise expired
CiTY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760*602-8558
www carlsbadca gov
Plan Check No. f a O^S^I
Est. Value ^nnr)
r
Plan Ck. Deposit Date 2. IZ-SWPP
~ m mil MioUDMrn SU1TE«/SPACE#/UMIT»
-2-It --
a/PROJECT # ^ LOT* PHASE # » OF UNITS » BEDROOI^S fl BATHROOMS TENANT BUSINESS NAME CONSTR TVPE OCC GROUP
lfPJ/Od(j
I 3.
EXISTING USE PROPOSED USE GARAG£ (SF) PATIOS (SF) DECKS (SF) FIREPUCE
YES • # f^O •
AIR CONDITIONING FIRE SPRINKLERS
YES • NOO YES a NOD
""'"MO/IK,m
'''''''i) om\m
Tmm'^0.icnm/inQroiA(irj)m •
CONTRACTOR BUS NAME ^^^^ (^V\^
ARCH/DESIGNER Ny^E & ADDRESS sJ STATE UC # STATE Lie «^ , -1 ~ CLASa CITY BUS UCff
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve demoiisfi or repair any structure prior to its issuance also requires the applicant for such permit lo fife a signed statement that he is licensed pursuant to the provisions ofthe Contractof s License Law {Chapter 9 commending with Section 7000 ot Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis forthe alleged exemption Anyviolation of Section 7031 5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compansation Declaration I hereby BfTirm under penalty ot perjury one of Oie following dedar^ions
d I have and will mamtain a certificste of consent to self insure for workers'compensation as provided by Section 3700of thei^bor Code for the performance of the vivric for which this pemiit is issued
have and will mamtam W;
numtjerare InsuranceCo
mt IS issued Myworkers compe
Expiration Dale
nsation msurancxc earner and policy
TTiis secton need not be completed i) the pennit is for one hundred doliars (J100) or less
O Certificate of Exemption I certify that in the performarice of ^e work for which this pemiit is issued I shall nol employ any person in any manner so as to become subiect to the Workers Compensation Laws of
California WARNIKG Failure to secure workers' compensation coverage is unlawful, and shall subjecl an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,DOD},m
addition to the cost of compensation, damages a&pravic^ for m Section 3706 of the Labor code, interest and attorney's fees
CONTRACTOR SIGNATURE ^^T DATE / ^ V '^yp-
I tiereby affinn thai I am exempt from Conlractor s Ucense Law for lt\e following reason
O I as owner of the property or my employees with wages as their sole compensation will do the wo\\i. 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 wodi! himself or through his own employees provided that such improvements are nol intended or offered for
sale II however the building or improvement is sold within one year ol completion the owner-builder will have the burden of pnsving that he did nol build or improve for the purpose ol sale)
• i as owner ol the property, am exclusively contracting with licensed conlraclors lo construe! the project (Sec 7044, Business and Prolessions Code The Contracior s License Law does not apply lo an owner ol
property who builds or improves Ihereon and coniracts for such pro]ecls with contraclor(sl licensed pursuant lo Ihe 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 materials tor construction of the proposed property improvement • Yes • No
2 i (have / have nol) signed an application for a building permit lor the proposed vrodt
3 I have contracted with the following person (firm) to provide ihe proposed construction (include name address/phone'contractors'license number)
4 1 plan to provide portions ol the wori<, but 1 have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors license number)
5 i will provide some of lhe work, bul I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wor1()
>ef PROPERTY OWNER SIGNATURE •AGENT DATE
^fjl^^^QOGs ^incimmsm'^mh o(^mtm 'GpKsga'ft^ em^$f
Is the appitcani or fulure building occupant required to submit a business plan acul^ hazadous malenals registration form oi risk managemeni and prevenlion program under Sections 25505 25533 or 25534 ol the
Presley Tanner Hazardous Substance Account Acf • Yes • No
is Ihe applicant or fulure Ouilding occupani required lo obtain a perniil from the air poiluUon control distnct or airquality management distncf • Yes O No
is the faolity to be constnicled within 1 000 feet of the outer boundary ol a school site? • Yes 6 No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET Wl IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AiR POLLUTIDN CONTROL DISTRICT
I tiereby affinn that there is a construction lending agency for the perfonnance of ttie work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender s Address
I certify tliati iiave rEadtheapplicabon and statetti3ttheabo>ve infoimation is conectand that the tnf^^ I agree to comply with all Cityoidlnancesand State laws retatingto buiiding constnictKMi
I hereby authonze representative of the City of Carisbad to enter upon the above menlDned poverty for nspedion purposes 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTlES JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA. An OSK^ pemiit sreQuted far excavations over 50 deep and demofition or constnxton of stnjctLBes over 3 stones nheght
EXPIRATION Every peiriiil issued by the BiBldingOfficiai under the pnWBons of this Code sh^^
180 days from the date of sui* pemirt or tf the buidng Of Wfltaylhoriffid by such permit B suspended or abandoned atanylimeafterlhevwkiscofTiiiiencedftxaperKxlof 180days(Seclnn1064 4Unf(onn Code)
>eS'APPLICANrs SIGNATURE | ^^l^^J^^^^ OATE / ^ "/
Inspection List
Permit* CB122681
Date Inspection Item
02/21/2013 38 Signs
02/21/2013 38 Signs
02/21/2013 39 Final Electncal
Type SIGN
Inspector
MC
MC
Act
Rl
AP
Fl
YOGA SIX= INSTALL 1 ILLUM
WALL SIGN
Comments
SIGNAGE PER PLAN
DISCONNECT/DEDICATED CIRCUIT OK
Friday, February 22, 2013 Page 1 of 1