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Home My WebLink About1905 CALLE BARCELONA; 217; CB132193; Permit09-12-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBI32193 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 1905 CALLE BARCELONA CBAD St: 217 SIGN 2550120400 Lot#: 0 $3,500.00 Construction Type: NEW ONE LIFE-2 SIGNS- 1 BLADE SIGN & 1 ILLUMINATED CHANNEL LETTER SIGN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/12/2013 RMA 09/12/2013 09/12/2013 Applicant: WEST COAST SIGNS 1776 PLANTATION WY EL CAJON CA 92019 619 334-5153 Owner: T-C FORUM AT CARLSBAD LLC C/O TIAA-CREF 4675 MACARTHUR CT#1100 NEWPORT BEACH CA 92660 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 $68.07 $0.00 $47.65 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $148.72 Total Fees: $148.72 Total Payments To Date: $148.72 Balance Due: $0.00 inspector: FINAL Date: Clearance: NOTICE: Please tal<e NOTICE that approval ot 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 sel 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 attacl<, 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenftfise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: IZlPLANNING •ENGINEERING nBUILDING OFIRE nHEALTH DHAZMAT/APCD •HEALTH DHAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value \- I Plan Ck. Deposit^ • APN SWPPP JOB ADDRESS SUITEt/SPACE«/UNIT* 2/^ CT/PROJECT # tt OF UNITS # BEDROOMS I I I I I I ^fl{,^ '-t DESCRIPTION OF WORK: Include Square Feet Of Affected Areafs) < :;vr'Cf)'V- TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr> N0| I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) APPLICANT NAME rSecondary Contact; ADDRESS ADDRESS CITY ^ . STATE ^ Zl* - --^-rpAX CITY STATE ZIP PHONE PHONE inro^S> uy^^-f ^Of{prfs^fJ^. CO EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME . ADDRESS ADDRESS -HID- IZOO ^ ZIP ^A.^6A) SM ^zo\(n PHONE ~ , I FAX- T IZ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS (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 issiA(r«HBralso requires thrf 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 SectlJntjrOOO of Division 3 ofthe 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 penally of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe following declarations: Jyrl 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 perfomiance of the work for which this pennit is issued. I fl I have and will maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($1 GO) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemnit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers'cgmpeiis^on coverage isjintmfui, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damamf^tprcmi&for in SectipR;|f9&«fthe Labor code, interest and attomey's fees. ygT CONTRACTOR SIGNATURE / '^2^—."^^y'O^y^^—l-"- tgAG 1AGENT DATE OWNER-BUiLOER OECLARATiON thereby affinn that I am exempt fmm Contractor's Ucense Law for the following reason: 1^ I I, as owner of the property or my employees with wages as their sole compensation, will do the wo& and the stnicture 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). I I I, as owner of the property, am exclusively contracting with licensed contractors to constroct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement QYes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contrxtors' license number): 4.1 plan to provide portions of the vrori<, but I have hired the following person to coordinate, supenrlse and provide the major work (Include name / address / phone / contractors' license number): 5.1 will provide some of the vrork, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of wori<): ^eS'pROPERTY OWNER SIGNATURE AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? 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. CONSTRUCTION LENDING AGENCY I hereby afllmt that there is a construction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cefti^that I have read the applteatkin and state that the above infonnation is conect and that the infonnation on the plans is aocuiate. I agree to comply wHh all Ci^ ordinances and State laws relating to building constmctnn. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspeclion puiposes. 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 pennit Is required fbr excavations over 5'0' deep and demolitbn or construction of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Official under the provisbns of this Code shall expire by limitation and become null and void if the building or vwik authorized by such pemiit is not commenced within 180 days from the date of such pemnit or if the building or wori< authorized by such permit is suspended or abandoned at any (me alter the woric is commenced for a period of 180 days {Sectbn 106.4.4 Unifomn Building Code). VSTAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-6560, Email building(a)cai1sbadca.aov or Mail the completed fonn to City of Cadsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCXiUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER:. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB132193 Type: SIGN ONE LIFE-2 SIGNS-1 BLADE SIGN & 1 ILLUMINATED CHANNEL LETTER SI Date Inspection Item Inspector Act Comments 02/14/2014 38 Signs PD AP 02/14/2014 39 Final Electrical PD AP Friday, January 23, 2015 Page 1 of 1