HomeMy WebLinkAbout1923 CALLE BARCELONA; 149; CB032778; Permit' **
10-07-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Sign Permit Permit No: CB032778
Job Address: Permit Type: SIGN Status: ISSUED Parcel No: Lot#: 0 Applied: 10/07/2003 Valuation: $20,150.00 Construction Type: NEW Entered By: RMA
Reference #: Plan Approved: 10/07/2003
Issued: 10/07/2003
Project Title: JIMBO'S-ILLUMINATED SIGNS Inspect Area:
1923 CALLE BARCELONA CBAD St: 149
Applicant:
IST CHOICE SIGN & LIGHTING SERVICE
610 ROCK SPRINGS RD ESCONDIDO, CA 92025
760-746-5069
Owner:
oooz 01. CGP 02 324 - 24
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
$184.39
$0.00 $1 19.85 $0.00 $20.00
$0.00 $0.00 $0.00 $0.00
$324.24
Total Fees: $324.24 Total Payments To Date: $0.00 Balance Due: $324.24
Clearance:
NOTICE: Please take NOTICFj(hat approval of your project includes the "ImpXiti&' 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
feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute o f limitations has oreviouslv otherwise exDired.
FOR OFFICE USE
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
n- c /gq Business Name (at this address)
Legal Description Lot No. Subdivision Na&e/Numb& Unit No. Phase No. Total # of units
Address (include BldgISuite #)
Assessor's Parcel # Existing Use Proposed Use
# of Bedrooms Description of Work sa. FT. #of Stories N€U 0 2 STOPE UtLD\bJCT UfRLSM FCnb # of Bathrooms
R - COMP/XffY &&l
usiness and Professions
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 Codel or that he IS exempt therefrom, and the basis for the alleged
xemption. 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 [$5001). \GNs C;\b $?ficu;5 PR\NGs EO Rscm-.l~\nn e. h 97-23 7607 q6 566q
Address city StatelZip Telephone # "IT CW\CG s
Name
State License # 6 qT 5 6 F\ License Class r 4 5 City Business License # \ 2 7 7 A -\
Designer Name Address city StatelZip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company STATE FUN I) Policy No. \ 670 6 9 4 Expiration Date
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
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 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.
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 contract4 with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
~~~~ ~
4.
number I 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 I address / phone number I type
PROPERTY OWNER SIGNATURE DATE
a# FOR
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 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
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDERS ADDRESS
CERTlk
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 City 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
DATE \ d 7/07 at any time after the work is
APPLICANT'S SIGNATURE
n 106.4.4 Uniform Building Code).
WHiTE: File YELLOW: Applicant PINK: Finance I/
City of Carlsbad Bldg
For: 12/08/2003
Permit# CB032778
Title: JIMBO'S-ILLUMINATED SIGNS
Description:
Type: SIGN Sub Type:
Job Address: 1923 CALLE BARCELONA
Suite: 149 Lot 0
Location:
APPLICANT 1ST CHOICE SIGN & LIGHTING SERVICE
Owner:
Remarks:
Total Time:
CD Description
38 Signs
Inspection Request
Inspector Assignment: 75
Phone: 7607465069
Inspector: 3L
Requested By: NA
Entered By: CHRISTINE
Comment &
Associated PCRs/CVs
Date
Inspection Historv
Description Act lnsp Comments
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SD
POLICYHOLDER COPY
=ATE
F u N C)
PO BOX 807, SAN FRANCIS; . ),CA 94142-0807
CERTIFICATE OF WORKERS' cCrw 3NSATION INSURANCE
COM PEN SAT10 N INSURANCE
ISSUE DATE: 04-01-2003
CONTRAtTORS STATE LICENSE BOARD SD
WORKERS COMPENSATION UNIT
SACRAMENTO CA 95826 P o BOX 26000
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
0.0.: SD
This is to certify that we have issued a valid Workers' Compe,
California Insurance Commissioner to the employer named belo J for the policy period indicated
3tion insurance policy in a form approved b; the
This policy is not subject to cancellation by the Fund except u m 30 days' advance written notice to the employer
We will also give you 30 days' advance notice should this p )(I( be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy ana tot not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement L irn or condition of any contract or other document with respect to which this certificate of insurance may be I',SL or may pertain. the insurance afforded by the
policies descrtbed herein is subject to all the terms, exclusim 2nd 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 HUSE,. u AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' kt IICE EFFECTIVE 04-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
1ST CHOICE SIGNS 8 LIGHTING
SERVl CE 610 ROCK SPRINGS RD
ESCONDIDO CA 92025
LEGAL NAME
JOHNSON, NOEL AND
JOHNSON, SANDY