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Home My WebLink About1911 CALLE BARCELONA; 150; CB150170; Permit01-20-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Sign Permit Permit No: CB150170 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 1911 CALLE BARCELONA CBAD St: 150 SIGN 2550120400 Lot #: $8,000.00 Construction Type: TILLY'S- 3 SIGNS, 2 ON WALL ILLUMINATED & 1 BLADE SIGN 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/20/2015 RMA 01/20/2015 01/20/2015 Applicant: BLAKE SIGN CO 11661 SEABOARD CR STANTON CA 90680 714 891-5682 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 $96.55 $0.00 $67.58 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $197.13 Total Fees: $197.13 Total Payments To Date: $0.00 Balance Due: $197.13 Inspector: Clearance: NOTICE: Please take NOTlJlE that apnroval of your project includes the "Imposiiion'of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You haVe 90 days from the date this permit ms issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information vifith the City Manager for processing in accordance virith Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any 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 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMHT ISSUANCE: nPLANNING •ENGINEERING • BUILDING •FIRE • HEALTH nHAZMAT/APCD ^ City of Carlsbad Buildmg Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck.,Depa6lt A/rWJkoTi-^ T** APN' SWPPP JOBADDRESS CT/PROJECT # # OF UNITS # BEDROOMS SUITEi/SPACEf/UNIT* # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nclude Square Feet of Affected Arears; AJ^MJ L^ACO </^*7^ J EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# NOj I AIR CONDITIONING YES I I NO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact ADDRESS PROPERTYOWNER ADDRESS CITY STATE CITY STATE ZIP PHONE FAX PHONE FAX EMAIL re' DESIGN PROFESSIONAL CONTRACTOR BUS. NAMI ADDRESS ADDRESS \\\dA S<PA R<ofc.»t^^ ^v<i.c\ve CITY CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL I \ 1 ni ACC 1 STATE LIC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 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 applicantfor a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penatty of perjury one ofthe fotlowing declarations: I 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 perfomiance of the woh< for which this pemiit is issued. II have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worit for which this permit is issued. My worlters' compensation Insurants can'ier and policy number are: Insurance Co /^^/^^ ftju^Cvg.&.'M ^ly^^^/flvviit f o Policy No. CH&VV. b O-S'to Expiration Date A This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate ot Exemption: I certify that in the perfomnance of the wortt for which this perniit is issued, I shall not employ any person in any manner so as to become subject to the Worlters' Compensation Laws of Califomia. WARNING: Faiiure to secure workers' compensation coverage is unlawful, and shaii subject an employer to criminai penalties and civii fines up to one hundr^ thousand doiiars (&100,000), in addition to the cost of compensation, damigM-arprovio^ for in Set^oiytlOB of the Labor codeJgtsueHnnraSomey's fees. /gf CONTRACTOR SiGNATURE^'^^^ '•^fi^i^ L^-^ QAGENT DATE /i VJ iric v*uir,cid v^uiiipc lundrul thousand do OMf NEB-BUILDe K O i C L A R A T I O N / hereby affinn f/iaf / am exempf from Conlracfor's license Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the wortt and the stmcture 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 theroon, and who does such worit himself or through his own employees, provided that such improvements aro 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 ilid not build or improve for the purpose of sale). I I 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 contractcr(s) licensed pursuant to the Contractor's Ucense 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 impravement. QVes I iNo 2.1 (have / have not) signed an application for a building pemiit for the praposed worit. 3,1 have contracted with the following person (fimn) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wortt, but I have hired the following person to coordinate, supervise and provide the major wortt (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of wortt): y^lTpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTiON rOR NON-RESIOENTIAL BUILOING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matertals 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 distrtct? Yes No Is the faciiity 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 fiereby aflirm that there is a construction lending agency for the performance of the work this pemnit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have lead ttie application and state that tlie above intbimation is coirect and that the inlbnnation on the plans is accuiate. i agree to compiywith all Cify ordinances and State laws relating to building consbuction. i hereby aulhorize representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMPF. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constiuction of stiuctures over 3 stories in height. EXPIRATION: Every peimit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or vwrtt authorized by such pemiit is not commenced within 180 days from the dale of such peimit or if the building or worttayliprized by such pemiit^^Bspended or abandoned at any time after the worit is commenced for a period pjd 80 days (Section 106.4.4 Uniform Building Code). jS^APPUCMifS SIGNATURE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at fmal inspection. Fax (760) 602-8560, Email buildinQ(5)carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCU PANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION vef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150170 Date Inspection Item 04/02/2015 38 Signs 04/02/2015 38 Signs 04/02/2015 39 Final Electrical 04/02/2015 39 Final Electrical Type: SIGN TILLY'S- 3 SIGNS, 2 ON WALL ILLUMINATED & 1 BLADE SIGN Inspector Act Comments Rl AM PLEASE/TILLYS PY AP Rl AM PLEASE/TILLYS PY AP Tuesday, April 07, 2015 Page 1 of 1