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Home My WebLink About1921 PALOMAR OAKS WAY; 300; CB133052; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-2013 Sign Permit Permit No: CB133052 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1921 PALOMAR OAKS WY CBAD St: 300 SIGN Lot#: 0 2120911800 $8,000.00 Construction Type: NEW INTEGRITY APPLICATIONS INC- INSTALL ONE WALL MOUNTED ILLUMINATED SIGN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: COGNAC PLAZA L L C ISSUED 12/11/2013 LSM 12/11/2013 12/11/2013 ALL STAR SIGNS INC STE B 1845 S CENTER CITY PKWY ESCONDIDO CA 92025 C/0 PRUDENTIAL REAL ESTATE INVEST 8 CAMPUS DR FL 4 760-7 46-6555 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES PARSIPPANY NJ 07054 $107.27 $0.00 $75.09 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $182.36 Total Fees: $182.36 Total Payments To Date: $182.36 Balance Due: Inspector: Pt:1-.iw',i I r'IAS t:Xr-'IRED 1N ACCORDANCE WITH C.B.C. SECTiO~t lCG.4A AS AMENDED BY CJ.,tC.18.04.030 OAfc L4-~ :SIGNATURE_~:::----- FINAL APPROVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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 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 Manager 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 oreviouslv been aiven a NOTICE similar to this or as to which the stat"t" of limitations has nrAviouslv otherwise exnired. llfE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING O eu1LDING O FIRE 0 HEALTH D HAZMAT/APCD ~~- ~/ CITY OF CARLS BAD Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buidllng@carlsbadca.gov www.ca rlsbadca,gov SUITE#/SPACE#/UNIT# ~ Plan Check No. Q.B (~SO .S ;;i. Est. Value fs',000 Plan Ck. Deposit Date 1 2-\ H \ , 3 SWPP APN CT/PROJECT# LOT# #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) • 1 I :r,..., s-;,,;(l :i=~,kr.,..,.lly I I J WI"",,-, • ..i...c.. JIS '-/7.e-- OCC. GROUP EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NO D AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NO D APPLICANT NAME (Primary Contact) ADDRESS 1°12..'f V"-'\.,S.S ,~ PHONE 7 bO ? 'I (o G:,~"'3':r EMAIL ~c.\..roe).-, PROPERTY OWNER NAME ADDRESS ,;-) ( 70 l ,.....19,, \!)-v'\,:.r PHONE STATE CA- FAX ,-"\ ZIP q'2..u2 9 l o.,,.k & CC)~ ~ Sv /k 2 ZIP qz.of I STATE LIC. # APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX MAL CONTIIACTOR BUS. NAME • :,...,S ...v\,.;s ,:>.-il~ STATE ZIP Cf. t; ~02- FAX STATE LIC.# CLASS CITY BUS. LIC.# /7\.f"L\-, C..-'{ ::,-t2°3'-DO~- (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 ofthe'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 ($500)). Worken;' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D 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. ~e and will maintain w~ompensa!i«r, as rlVluiljlj by S~tion 3700 of the Labor Code, for the performance of the wort_for w~ich thi~rmlt is issued. My workers' compensat! insura~ earner and policy numberare:lnsuranceCo. 'T:!'J.'C tt ...... +.i.or~ Policy No. ;Z..WeCt:: v-rc,8 3 ExpirationDate 3L1.3l.l'f This section need not be completed tt the permit is for one hundred dollars ($100) or less. D 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 workers' compensation coverage is unlawful, 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,.!:::J.~rovided for in Section 3706 of the Labor code, interest and attorney's fees. L CONTRACTOR SIGNATURE '?'?' ~~ OAGENT I hereby affirm that I am exempt from Contractor's License Law for the 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 wortc himseH or through his own employees, provided that such improvements are not intended or offered for sale. H, 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). D I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol 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). a I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement D Yes D No 2. I (have I have not) signed an application for a building permit for the proposed wortc. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major wortc (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wortc indicated (include name I address I phone I type of wortc): L PROPERTY OWNER SIGNATURE 0AGENT DATE Is the ap~cant 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 Acri D Yes D No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I cet1ifylhatl have read the application and stltelhatthe above infonnation is correct and that the infonnation on the plans is accurate. I agree to complywi1h all City ordinances and State laws relating to building construction. I hereby au1horize representative of lhe City of Carlsbad lo enter u~ lhe alxlve menooned property for~ purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permtt is requred for excavations over 5'0' deep and demolltiJn or construcoon of slluctures over 3 sklreS in height. EXPIRATION: Every permtt issued by lhe B.Jikling Offdal under lhe provisiJns of this Code shall expre by Imitation and berome nul and void tt lhe buikling or v.or1I authorized by such permit is not commenred v.ith11 100 days from lhe date of such permit or if lhe buld119 orv.oril authorized by such permtt is suspended or abanooned at any tine afterlhe v.or1I is commenred for a peood of 100days (Section 100.4.4 Uniform 0Jikl119 Code). _,1$ APPLICANT'S SIGNATURE 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. :: [ ' ; 1 f ! C :'\ ;-f () ; 0 C C 1 ! :~ r"' ~ J C )' , : J rt P1 , I'" , l .f l ')..-I} '. ,, .. ' Fax (760) 602-8560, Email www.building@cartsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. l CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LJC. No. DELMRY OPTIONS D PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE