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HomeMy WebLinkAbout1915 CALLE BARCELONA; 130; CB042413; PermitJob Address: Permit Type: Parcel No: Valuation: Reference #: You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions 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 ~ Project Title: City of Carlsbad (&$&e 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB042413 Building Inspection Request Line (760) 602-2725 Applicant: SIGNAGE SOLUTIONS 191 5 CALLE BARCELONA CBAD St: 130 SIGN Status: ISSUED $5,000.00 Construction Type: NEW Entered By: MDP Lot #: 0 Applied: 0611 612004 Plan Approved: 0611 612004 Issued: 0611 612004 SUR LA TABLE Inspect Area: 3 WALL SIGNS W/ELEC 1336 ALLEC ST 92805 714 491-0299 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 $61.19 $0.00 $39.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $100.96 Total Fees: $100.96 Total Payments To Date: $0.00 Balance Due: $1 00.96 FINAL APPROV L InsDector: - Date: -&&E- Clearance: FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.bb\-zq& EST. VAL. c, 'rod Plan Ck. Deposit Validated By CIT? OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units Assessor's Parcel # Existing Use Proposed Use \ Description of Work SQFT. f #of stones t of Bedrooms # of Bathrooms Name Address City Stete/Zip Telephone # Fax # Name Address City State/Zip Telephone t (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 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 penalty of not more than five hundred dollars I$5001). 5:qw 'C 1136 &?& c SCt &A,* CR fA- Telephone 80'3 * # 6rC -9171 StateEip Jdl rL4 Name - Address city State License 6 08 a3 License Class c- q5 City Business License # oh 1 e_ Designer Name Address city Statelzip Telephone of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: 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 Y Insurance Company was Q- s Policy NO.- . 700 Expiration Date !-os- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 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. WARNINQ: Failun to secure workm' compensation coverage I. unlawful, and shall aubjact an employer to criminal panalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for tha 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project 1Sec. 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 contractorls) 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 UNO 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 / address / phone number / contractors license number): Business and Professions Coda for this reason: 4. number / contractors license number): 5. of work): 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE DATE 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? 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? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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 LENDER'S NAME LENDERS ADDRESS City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEAD 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 th authorized by such permit is not co at any time after the work is corn APPLICANT'S SIGNATU DATE der the provisions of this Code shall expire by limitation and become null and void if the building or work tor if the building or work authorized by such permit is suspended or abandoned City of Carlsbad Bldg Inspection Request For: 12/08/2004 Permit# CB042413 Title: SUR LA TABLE Description: 3 WALL SIGNS W/ELEC Type: SIGN Sub Type: Job Address: 1915 CALLE BARCELONA Suite: 130 Lot 0 Location : APPLICANT SIGNAGE SOLUTIONS Owner: Remarks: Inspector Assignment: Phone: 71 4491 0299 Inspector: #& Total Time: Requested By: CANDY Entered By: KAREN CD Description 2comment 38 Signs Associated PCRs/CVs Date InsDection Historv Description Act lnsp Comments