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Home My WebLink About1911 CALLE BARCELONA; 154; CB081581; Permit08-15-2008 City of Carlsbad •* 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB081581 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1911 CALLE BARCELONA CBAD St 154 SIGN 2550120400 Lot# 0 $2,200 00 Construction Type NEW PAPER SOURCE- INSTALL 2 ILLUMI WALL SIGNS Status ISSUED Applied 08/15/2008 LSM 08/15/2008 08/15/2008 Entered By Plan Approved Issued Inspect Area Applicant P S SERVICES SUITE B 316EDYERRD 92707 714-513-1870 Owner BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/O DELOITTE TAX LLP PO BOX 131071 CARLSBAD CA 92013 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 $4995 $000 $3247 $000 $2000 $000 $000 $000 $000 TOTAL PERMIT FEES $10242 Total Fees $102 42 Total Payments To Date $10242 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fee , dedications, reservations cr 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 set forth in Government Code Section 66020(a), and file the protest and any othe' 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 nny subsequent legal action to 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 end 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday A*e , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 'Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT*PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME TYPE OF CONST DESCRIPTION OF WORK (Pleasa describe present use and proposed use)\ / BUILDING AREA (SF)ADDITION AREA (SF)GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Run Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX .PHO " NE J 60 3 EMAIL EMAIL OWNER NAME CONTRACTOR BUS NAME "ADDRESSADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC #CITY BUS LIC# licensed7031 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 Hie a signed statement that he ised pursuant to the provisions of the Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cede} or that he is exempt therefrom, and the basis for the alleged exemption Any violation ofn 7031 5 by any applicant for a permit subjects the applicant to a cm) penalty of not more than five hundred dollars {$500}) WORKER S ' C Q.'M P E, N SAT ION Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations ^CXJ 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 Lj 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 issued My workers' compensation insurance earner and policy ga • Policy No . This section need not be completed if the permit is for one hundred dollars ($100) or less ' ' O Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workej^^hi^^ationraveracjeHsljnlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), In addition to the cost of compensation, dama^esas pjxrf!ded-f6f1n£$etlo^7u6 of the Labor code, Interest and attorney's fees JSS CONTRACTOR SIGNATUI OWN E R - B U I L D: E' R DEC LA RAT I ON / ftereoy affirm that I am exempt from Contactor's License Law for (he following reason D 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) O 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) n 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 property improvement a Yes a 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 / phone / contractors' license number) 4 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 / address / phone / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE CO M PL E TE TH I S S E C T JO N F O R N O N -n ESI D E N Tl A L B UlL DIN G P E RM I TS O N L YJ--' '!'" ' 1 j''' • 'i ;'-"'"' ''"' • •• - Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? ~ O Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes G No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O Yes Q No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 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 representative of the City 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 AMD 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' deecund demolition or construction of structures over 3 stones in height. EXPIRATION Every permit issued by the Building Cfficiapmflerthe provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit Is not commenced within 180 days from the date of such permit or if the buMm^wo^4\i(hon}B^e^!i\^ent^^us^^ed or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) £?APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 01/21/2009 Permit* CB081581 Title PAPER SOURCE- INSTALL 2 ILLUMI Description WALL SIGNS Inspector Assignment PC Type SIGN Job Address Suite Location APPLICANT PS SERVICES Owner Remarks Sub Type 1911 CALLE BARCELONA 154 Lot 0 Phone 7147219573 Inspector Total Time CD Description 39 Final Electrical Act omments Comments/Notices/Holds Requested By JAUNTA f Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 10/31/2008 84 Rough Combo CA PC 09/02/2008 38 Signs CA PC 09/02/2008 39 Final Electrical CA PC ACORD, CERTIFICATE OF LIABILITY INSURANCE %&»,. PRODUCER ' Der Manouel Ins & Fin Svcs Inc Der Manouel Insurance Group P.O. Box 28906 Fresno CA 93729-8306 Phone: 559-447-4600 'NSURED P.S. Services, Inc.2820 B Gretta LnAnaheim CA 92806 OATE C.MWDO/YYYY) 06/04/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Soldtn 3agl* Insurance Oorp INSURERS Deloa Insurance Company INSURER C 'NSURER D INSURER E NAIC* COVERAGES THE POLICIES OP INSURANCE LISTED BELOW HAVE BEE'J ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY HEOUIflEMENT TERM OR CONDITION OF ANY CONTRACT OB OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER'IFICATE MAY BE ISSUED CR MAY PEflTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBES? HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT'ONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY SAID CLAIMS [NSH LTR A A B \oo MSB TYPE OF INSURANCE GENERAL LIABILITY X^COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | X | OCCUR GENT. AGGREGATE LIMIT APPLIES PER X~j POLICY! ijfc* ni^oc AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PHOPRIETOH/PARTNEfVEXECUTIVE OFFICER/MEMBER EXCLUDED? if yea dese-ibe underSPECIAL PROVISIONS below OTHER POLICY NUMBER CBP8283458 BA8189369 01DKRM1203364 POLICY EFFECTIVEDATE (MM/DD/YY) 06/06/08 09/04/07 04/01/08 POLICY EXPIRATIONOATE (MM/DD/YY) 06/06/09 09/04/08 04/01/09 LIMITS EACH OCCURRENCE UAA/lAbt: Tvj HLW 1 CD PREMISES (Ea occurence) MED EXP (Any one person'- PERSONAL 1 ADV INJURY GENERAL AGGREGATE PHOCUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Pei accident) AUTO ONLY - EA ACCIDENT OTHPRTHAW EAAC£. AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE « WUS1AIU- IUFH-X TORY LIMITS I ER E L EACH ACCIDENT E L DISEASE EA EMPLOYEE E L DISEASE POLICY LIMIT s 1000000 t 100000 B5000 $1000000 s 2000000 $2000000 $1000000 $ $ s s s $ $ $ $ $ $ $1000000 s 1000000 S 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS **10 day notice of cancellation will be issued for non-payment of premium.** CERTIFICATE HOLDER CANCELLATION CONTR-1 Contractors State License Board F O BOX 26000 Sacramento CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXFIRATIOM OATE THEREOF, THE ISSUING INSURER \MLL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MFOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORISES REPRESENTATIVE // (~) * ) ^^/i^(/'^Au^^ ACORD 25 (2001/08)(9 ACORD CORPORATION 198A o. §" Q) TO in I ,.i.9.C95l8..BW Iff iNNING ILDING SlftlW PF.UM1T NO. 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