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HomeMy WebLinkAbout1915 CALLE BARCELONA; 130; CB150385; Permit02-05-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBI50385 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 1915 CALLE BARCELONA CBAD St: 130 SIGN 2550120400 Lot#: 0 $5,000.00 Construction Type: NEW SUR LE TABLE-REPLACE 2 SIGNS ON WALL-ILLUMINATED, 2 NEW WALL PLAQUES & REPLACE Status: Applied: Entered By: Plan Approved: Issued: inspect Area: ISSUED 02/05/2015 RMA 02/05/2015 02/05/2015 Applicant: CLEAR SIGN AND DESIGN 170 NAVAJO ST SAN MARCOS CA 92078 760-736-8111 Owner: T-C FORUM AT CARLSBAD LLC C/0 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 $70.09 $0.00 $49.06 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $152.15 Total Fees: $152.15 Total Payments To Date: $152.15 Balance Due: $0.00 Inspector: FINAL AB Date: APPROVAL Clearance: NOTICE: Please take llOTICE ifiat approval of your project includes the "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exactions." You tiave 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 other required information with the City IWanager for processing in accordance with 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 previouslv been oiven a NOTICE similar lo this, or as to which the statute of limitations has oreviouslv otherwise exoired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPUNNING nENGINEERING nBUILDING nFIRE nHEALTH •HAZMAT/APCD Plan Check Ng l-^^J^f Ccity of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit Date^i^/I SWPPP JOB ADDRESS CT/PROJECT # # OF UNITS # BEDROOMS SUrrE#/SPACE#/UNI l3o # BATHROOMS TENANT BUSINESS NAM 25-5- -of^ -o^ E I CONSTR. TYPE 00 DESCRIPTION OF WORK: fnc/ude Square Feet of Afliscted Araa^s; , 4A i 1/o EXISTING USE I PRHPnccn i I<:P irsARARF r.<?n TpArifiRTRn I npf^KR r^Fi I FIRFPI Af:F OCC. GROUP CO, PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESPV N0| I AIR CONDITIONING YES QNO • FIRE SPRINKLERS YES I I N0| I APPLICANT NAME-PROPERTY OWNER NAME ADDRESS ADDRESS no >ON>3A;\^C. .b^ I 125 iSeiuuc^vjoJ-^ ^c/Uoc^ ^o-^t- l70 CITY STATE CA- ZIP CITY STATE IFAX^ ZIP 3oob9 PHONE 7foo l<c>'b 'ftvu FAX PHONE EMAIL I-EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS _ (7o [0^^^1fl\o .^^ CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE licO 7^0^ ?>Vlv FAX EMAIL EMAIL CTATC I 1^ U ' STATE LIC. # 74 S 'iSH CHT. CAT CITY BUS. LIC.# (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 Code) or Oiat he is exempt theref rom, and the basis forthe 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 ($500)). WORKERS' COMPENSATION Workera'Compensation Deci»rallk)a : I hereby affinmuriiterpeiialty of perjury one of the folkml^ 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 work for whch this permit is issued. 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 pennit is issued. My workers' compensatk>n insurance carrier and polk:y number are; Insurance Co._' CO>^QCaJ^ filo LOe^^"^ Policy No L»^A 5O"2.{pt»O00e> Expiratton Date (o " I -~ 15" Bsectton need not be completed if the permit is for one hundreo uuiiars ($100) or less. Certificate of Exemption: I certify that in the perfonnance 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 Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civii fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag^jas provided for in Section 3706 of the Labor code, Interest and attomey's fees. yfiS" CONTRACTOR SIGNATURE V / El AGENT DATE Z,-5"-;iS' OWNER-BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's Ucense 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 work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's — Lteense 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 lhat such Improvements are not intended or offered for sale. If, however, the building or improvement Is sok) within one year ot completion, the owner-bulkier will have the burden of proving that he dkJ 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 properly who buikJs or improves thereon, and conlracts for such projects with contractor(s) licensed pursuant to the Contractor's License 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 constmction of the proposed property improvement. Q Yes I ft^o 2.1 (have / have not) signed an applicatton for a building pennit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 will provkle some of the work, but I have contracted (hired) the foltowing persons to provide the work indicated (include name / address / phone / type of work): ^STPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY 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? Yes )© Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes 4® Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes fi^ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLE§S 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 hereby affirm tfiat there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above Information Is conect and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building constmction. I hereby authorize representative of Ihe City of Carlsbad to enter upon the above mentioned proper^ fior Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILrriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit 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 BuikJing Olffcial under the provlskxis of this Code shall expire by Smitalion and become nul and vok) if the building or wof1( authorized by such pemiit is not commenced within 180 days (ran the date of such petinit a if Ihe buiWing or wort( authorized by such permit is suspended a abandoned at 106.4.4 Unifomfi BuikJing Code). vfif APPLICANT'S SIGNATURE DATE 2-S-IS STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq(a)carlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAIME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carisbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Usted above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >erAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150385 Date inspection Item 04/10/2015 38 Signs 04/10/2015 38 Signs 04/10/2015 39 Final Electrical Type: SIGN Inspector Act RI PY AP PY AP SUR LE TABLE-REPLACE 2 SIGNS ON WALL-ILLUMINATED, 2 NEW WALL P Comments Monday, April 13, 2015 Page 1 of 1