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Home My WebLink About1915 CALLE BARCELONA; 135; CB151731; Permit06-05-2015 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB151731 Building Inspection Request Line (760) 602-2725 13< 1915 CALLE BARCELONA CBAD St: 1>r SIGN 2550120400 Lot#: 0 $5,000.00 Construction Type: 5B PAPER SOURCE: NEW SIGNS Status Applied Entered By: Plan Approved Issued Inspect Area: ISSUED 06/05/2015 JMA 06/05/2015 06/05/2015 Applicant: SWAIN SIGN INC 1384 E 5TH ST ONTARIO CA 91764-2103 909 460-2530 Owner: T-C FORUM AT CARLSBAD LLC C/O TIAA-CREF 4675 MACARTHUR CT #1100 NEWPORT BEACH CA 92660 Building Permit Add1 Building Permit Fee Plan Check Add1 Plan Check Fee Electrical Fee Renewal Fee Add1 Renewal Fee Other Building Fee Additional Fees $70.09 $0.00 $49.06 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $119.15 Total Fees: $119.15 Total Payments To Date: $119.15 Balance Due: $0.00 Inspector: FINAL ARPROrVAL Date: M/ZUdl^ Clearance: NOTICE: Please take NOTICE That apfj'oval of your project includes the "Imffositlon" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest innposition 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 ly anager 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 previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING nENGINEERING EIBUILDING OFIRE nHEALTH •HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.ca rlsbadca.goj^^^ Plan Check No. (3 | Est. Value <^ '^.Ct^ Plan Ck. Deposit Date b S'AC, SWPPP JOB ADDRESS 1^ CT/PROJECT # # BEDROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE' GARAGE (SF) PATIOS (SF) DECKSISF)' FIREPLACE I AIR CONDITIONrNG FIRESPRINKLERS YESfl* Noj I YES [^NOI I YES I |NO| I APPUCANT NAME PDmary Contact <3UrQ.\V> '^l»jr\ ADDRESS -* PROPERTY OWNER T\i,'yN'n/\ Mr^Ole> H(Kir\ ADDRESS ADDRESS TY STAT? TIP CITY STATE LA. ZIP CITY /AX STATE' ZIP PHIINE ^ PHONE EMAIL DESIGN PROFESSIONAL CdNTRACTOj NAME ADDRESS ADDRESS CITY STATE ZIP CITY ZIP PHONE FAX PHONE FAX EMAIL EMAIL 3 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 ror such permitto 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 applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of petjuty one ofthe following declarations: LJ ItJAxe and will maintain a certificate of consent to self-insure for vrarkers' compensation as provided by Sedion 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued. Policy No, lance of the wont for which this perniit is issued. My workers compensation insurapce cai ^ f^SU - ff^»iH Expiration Date (Q/I /t$ t£j 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' compensation insurapce carrier and policy number ane: Insurance Co. 'ij^tLfif,. i^H^r^^ Thjs section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the wort for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Caiifomla, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doiiars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. ^ CONTRACTOR SIGNATURE /^Lj/lJ^j^jj ^^/^(X!A^ DATE (ry/cT /[ CT OWNER-SUILDER DECLARATION (hereby affirm (hat I am exempt from Confractor's Ucense Law fbr fhe fbllowing reason: [ 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 Professions Code: The Contractor's License Law does not apply to an owner of praperty 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). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the praject (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law), I I 1 am exempt under Section Business and Prafessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenL Q Yes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to pravide portions of the work, but I have hired the following peison to coordinate, supereise and pravide the major work (include name / address / phone / contractors' license number): 5,1 will pravide some of the work, but I have contracted (hired) the following persons to pravide the work indicated (include name / address / phone / type of wort): >eS'pROPERTY OWNER SIGNATURE P<(^ENT DATE COMPtETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals 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 district? Yes No Is the facility 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 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 APPLICANT CERTIFICATION I ceitify that I have read the applkatk>n and state thatthe above infomiation Is conectand thatthe Infonnation on the plans is accurate. I agree to complywith all Ci^oittinances and State laws relating to building constructkin. I hereby authorize nepresentative ofthe City of Carisbad to enter upon the above mentioned property fcr inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 pennit is nequiied fbr excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Oflicial under ttie provisions of this Code shall expire by limitatbn and become null and void if the building or vmri< authorized by such permit is not commenced wilhin 180 days from the date of such pennit or if the building or vwri< authorized by such pemiit is suspended or abandoned at any time after the work is commenced fbr a period of 180 days (Sectton 106,4.4 Unifbmi BuikJing Code). >e$'APPLICANT'S SIGNATURE ^jf/^^ j^/V^ DATE 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 buildinqfSlcarlsbadca.gov or Mall 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 PICKUP: CO NTACT (Listed above) OCCU PANT (Listed a bove) 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 ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151731 Type: SIGN PAPER SOURCE: NEW SIGNS Date Inspection [tem 07/14/2015 38 Signs 07/14/2015 38 07/14/2015 39 07/14/2015 39 07/13/2015 38 07/13/2015 38 07/13/2015 39 Inspector Act Rl Signs Final Electrical Final Electrical Signs Signs Final Electrical PY PY PY AP Rl AP Rl NR Rl Comrnents AM PLEASE AM PLEASE Friday, July 17, 2015 Page 1 of 1