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Home My WebLink About1911 CALLE BARCELONA; 152; CB041772; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-1 7-2004 Sign Permit Permit No: CB041772 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: SIGN Parcel No: Lot#: 0 Applied: 0511 712004 Valuation: $2,000.00 Construction Type: NEW Entered By: KMT Reference #: Plan Approved: 0511 712004 Issued: 0511 712004 Project Title: SOLE COMFORT - INSTALL 1 ILLUM Inspect Area: 191 1 CALLE BARCELONA CBAD St: 152 Status: ISSUED WALL SIGN 25 SQ. FT. Applicant: ULTRAS I G N S 5458 COMPLEX SUITE 401 SD 921 23 858-569-671 6 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 $38.13 $0.00 $24.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.91 Total Fees: $62.91 Total Payments To Date: $0.00 Balance Due: $62.91 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (!do4 / 777 EST. VAL. #a,- Plan Ck. Deposit Address (include BldgISuite #) Legal Description Lot No. Subdivision NamelNumber Ulae No. Total # of units Assessor's Parcel # Description of Work SO. FT. Business Name (at this address) Exis:ing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms 1 /IS&\\ c1\ '8 I \- hI(L1- SS4, Name Address City Statelzip Telephone # 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 Codel or that he is exempt therefrom, and the basis for the alleged Any violatiop of Section 703 nt for a permit subjects the oa civil penalty f not more than five hundred dollars [$500]). rrc&&clJ)Y bl l.vb @h-Ir> Telephone # Address City Statelzip TPrL 5 Name State License # 7 %SSl License Class C +S City Business License # Designer Name Address city Statelzip Telephone 0 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. wave 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 Compensation insurance c rrier and policy number are: Insurance Company s&_tcr $-k Policy NO. 17 I \Lt%K-U3 Expiration Date 5- I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. 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 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 IS SECTION FOR NONd?€SIDEWTXAL BUILDINQ'PERMI or future building occupant required to submit a busi 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 constructed 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 ENDING ACEN LENDER'S NAME LENDER'S ADDRESS 9 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 Citt 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 ced within 180 days from the date of such permlt or if the bulldlng or work authorlzed by such permlt IS suspended or abandoned at any time after the work is APPLICANT'S SIGNATURE DATE b--/7-4 4 Uniform Building Code), I WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/30/2004 Permit# CB041772 Inspector Assignment: Title: SOLE COMFORT - INSTALL 1 ILLUM Description: WALL SIGN 25 SQ. FT. Type: SIGN Sub Type: Job Address: 191 1 CALLE BARCELONA Suite: 152 Lot 0 Location: APPLICANT ULTRASIGNS Owner: Remarks: Total Time: CD Description 38 Signs Phone: 6197193788 Inspector: rn Requested By: RICK Entered By: CHRISTINE Associated PCRsKVs InsDection History Date Description Act lnsp Comments