HomeMy WebLinkAbout1923 CALLE BARCELONA; 143; CB032527; Permit09-1 2-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Sign Permit Permit No: CB032527
19 Job Address:
Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 09/12/2003 Valuation: $2,000.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 09/12/2003
Issued: 09/12/2003
Project Title: VICTORIAS SECRETS 32SF ILLUM Inspect Area:
1923 CALLE BARCELONA CBAD St:+
WALL SIGN 8 SF OF BLADE SIGNS
Applicant:
IST CHOICE SIGN & LIGHTING SERVICE
610 ROCK SPRINGS RD ESCONDIDO, CA 92025
760-746-5069
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
$38.13
$0.00
$24.78
$0.00
$20.00
$0.00
$0.00 $0.00 $0.00
$82.91
Total Fees: $82.91 Total Payments To Date: $0.00 Balance Due: $82.91
4027 09/l2/03 OOO2 01 02
CGF 82.91
Clearance:
NOTICE: Please tmE? that approval of your project includes the 'Impbsitiodof fees, dedications, reservations, or other exactions hereafler collectively
referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. cG7s27
000 EST. VAL.
Plan Ck. Deposit
Validated By, 47
Date 4/17 >
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
- # of Bathrooms
Assessor's Parcel # Existing Use
A 1 M\.& r?.rr \'> cUAtwJfr L? fF\r WA\[ 3 \CrN @ 27
SQ. FT. #of Stories - # of Bedrooms
, ]Name Address city StatelZip Telephone #
Address city StatelZip Telephone #
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 Code1 or that he is exempt therefrom, and the basts for the alleged
a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
UK5pK\h,GS Pb dCb b ocw CA '11. 4574 c: rid? Address City Statelzip Telephzne # -
License Class e K City Business License x \ -~n -4- 6 3 *\
Designer Name Address City State/Zip Telephone
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company ,Y TbTF QJ N 4) Policy NO. I E,? KC. q Ll Expiration Date dl \ 0 LI
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 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.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the 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 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 contractor(s) licensed pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
number I contractors license number):
5.
of work):
P
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 I address I phone number I contractors license number):
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 I address 1 phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type
Business and Professions Code for this reason:
OWNER SIGNATURE
E THIS SECTION FOfl
pplicant or future buildi
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES [7 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
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 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 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 the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit IS suspended or abandoned
f
t any time after the work is
APPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant PINK: Finance
lhspection List
Permit#: CB032527 Type: SIGN VICTORIA'S SECRETS 32SF ILLUM
WALL SIGN 8 SF OF BLADE SIGNS
Date Inspection Item Inspector Act Comments
12/05/2003 39 Final Electrical PS AP OK TO FINAL PER P.S.
11/24/2003 38 Signs RI
11/24/2003 38 Signs PS co
Monday, December 08,2003
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SD
POLICYHOLDER COPY
-STATE P.O. BOX 807. SAN FRANCISCO.CA 94 142-0807 CO M PE N S AT1 0 N INSURANCE F u N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 04-01-2003
CONTRACTORS STATE LICENSE BOARD SD
WORKERS COMPENSATION UNIT
P 0 BOX 26000
SACRAMENTO CA 95826
GROUP:
POLICY NUMBER: 1670694-2003
CERTIFICATE ID: 4
CERTIFICATE EXPIRES: 04-01-2004 04-01-2003/04-01-2004
LICENSE NUMBER: CSLB# 643568
INCEPTION DATE: 04-01-2003
D.0.: SD
This is to certify that .we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement. term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04-01-2003 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER LEGAL NAME
1ST CHOICE SIGNS 8 LIGHTING JOHNSON, NOEL AND
SERVICE JOHNSON, SANDY 610 ROCK SPRINGS RD
ESCONDIDO CA 92025
03-17-2003 po4,0 PRINTED
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