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HomeMy WebLinkAbout1911 CALLE BARCELONA; 154; CB040864; PermitCity of Carlsbad *. "* 1635 Faraday Av Carlsbad, CA 92008 03-1 5-2004 Sign Permit Permit No: CB040864 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 0311 512004 Valuation: $2,500.00 Construction Type: NEW Entered By: YK Reference #: Plan Approved: 0311 512004 Issued: 0311512004 Project Title: NEW BALANCE 2 WALL SIGNS ILLU Inspect Area: 191 1 CALLE BARCELONA CBAD St: 154 Applicant: HOWENSTINE INC.. JOHN 3188 AIRWAY COSTA MESA, CA 92626 000-000-0000 Owner: 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 TOTAL PERMIT FEES $45.79 $0.00 $29.76 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $95.55 Total Fees: $95.55 Total Payments To Date: $0.00 Balance Due: $95.55 @GP VAL E 95.55 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Name Address City StatelZip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he IS licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged ex NamT State License #74'1/3'7 3$ Designer kame IT). wz4, (!!V &Qi CCSPDK Cl'rStA K) , An viola ion of Sec ion 7031 5 by any a plicant for a permit subje s the a plicant to a civil enalty of not more than five hun ed do a StatelZi TelepKone # m-q City AfC 3'140% -& c=- 4s City Business License # hkd Address TckY +!-hAkd %&! I License Class Address clty StatelZip Telephone 6MGI Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of t e work for which this permit is issued. ssued. My worker's c Insurance Company [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 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 .s unlawful, and shall subject an employer to * ' o one hundred thousand dollars ($1 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 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 - ensation insurance carrier and policy number are: mGii-tJw&m- Policy NO. K)n~~.:-r7/7@h 3 Expiration Date YJ tion, damages as provided for in Section 3706 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type NZ) bm program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be honstructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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 GRANTlNG 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 issu d y 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 c d within 18 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 the work is corn APPLICANT'S SIGNATURE ' f 0 $ s ( e 'on 106.4 4 Uniform Building Code). *4$f!If(j?(&e &. DATE \I WHITE: File YELLOW: Applicant PINK: Finance .. t. i -7 . John HwenstJne Inc. CONCEPT 8t FABRICATION .. .. To Whom It May Concern: This letter is to inform you that Kelly Hacker - CDL# N5198022 has authorization to act as an agent for John Howenstine Inc. to obtain all necessary permits and any licenses pertaining to signage. Sincerely, i - I. , John Howenstine PresidentlOwner CALIFORNIA CONTRACT0 #C45 374737 D .- “90-B AIRPORT LOOP DR. COSTA MESA, GA 92626 * 714/557-4064 a FA< 714/557-5626 - JHIDESIGIYS@AOL.COM, I' City of Carlsbad Bldg Inspection Request For: 09/03/2004 Permit# CB040864 Inspector Assignment: Title: NEW BALANCE 2 WALL SIGNS ILLU Description: Type: SIGN Sub Type: Job Address: 191 1 CALLE BARCELONA Suite: 154 Lot 0 Location: APPLICANT HOWENSTINE INC., JOHN Owner: Remarks: PLEASE INSPECT 9AM - NOON Total Time: CD Description 38 Signs Phone: 7145574064 Inspector: Requested By: LAURl Entered By: CHRISTINE Comment Associated PCRs/CVs Date Inspection Historv Description Act lnsp Comments