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Home My WebLink About1923 CALLE BARCELONA; 142; CB033051; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 I 1-06-2003 Sign Permit Permit No: CB033051 \4/ Job Address: Permit Type: SIGN Status: ISSUED Parcel No: Lot#: 0 Applied: 11/06/2003 Valuation: $5,000.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 11/06/2003 Issued: 11/06/2003 Project Title: J JILL3 SIGNS(1 ILLUMINATED) Inspect Area: 1923 CALLE BARCELONA CBAD St: .j& Applicant: INTEGRATED SIGN ASSOCIATES 1 160 PIONEER WAY EL CAJON, CA 92020 61 9-579-2229 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 $61.19 $0.00 $39.77 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $120.96 Total Fees: $120.96 Total Payments To Date: $0.00 Balance Due: $120.96 8247 U106/03 0002 01 02 CGP 120 96 Inspector: Clearance: 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. 760- 60~- as~g PI%MIT APPLICATION CITY OF'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. cb L?? ?b? / I EST.VA1. 3- Plan Ck. Deposit Validated B Date I!/ 7 6 Legal Description Lot No. Subdivision NarndNumber Unit No. Phase No. Total # of units Assessor's Parcel X Existing Use Proposed Use c. 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 uance, 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 that he is exempt therefrom, and the basis for the alleged - State License # License Class C - +5 city Business License # 4 Designer Name Address city StatdZip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: of the work for which this permit is issued. 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 ave 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 My worker's compen>ation insurance carrier and policy number are: - - Insurance Company =e u ck Lt*4v=3 Ll c- e C,, Policy NO. 2 uLC/O 1 '78 / Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl 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. end shall subject an employer to criminal penalties and civil finas up to one hundred thousand dollars ($1-00,~~. in addkicnrTa-2lle cost of compensation. damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees. I hereby affirm that I am exempt from the Contractor'acense Law for the following reason: 0 1, 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 (Sac. 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). 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 ON0 I (have / 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 / contractors license number): Business and Professions Coda for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type 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? 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 LENDERS NAME 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 Citt 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. issued by the building Offictal under the provisions of this Code shall expire by limitation and become null and void if the building or work 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~PPLICANTS SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance L - Inspection List Permit#: CB033051 Type: SIGN J JILL9 SIGNS(1 ILLUMINATED) Date Inspection Item Inspector Act Comments 04/13/2004 38 Signs PS AP FINAL 04/06/2004 38 Signs PS CA BY LARRY 1 111 012003 38 Signs TP NR 11/10/2003 39 Final Electrical TP NR 04/06/2004 38 Signs RI 11/20/2003 38 Signs PS co Tuesday, April 13,2004 Page 1 of 1 N0.275 P.1 ,NOV. 6.2803 5:89pM -1 f. ZE" INSURANCE COMPANY Cmpq No.: 13145 21255 CALIFA ST WOODLAND BILLS. CA 91367 WORKERS COM"SATI0N AND EMPLOYERS LZAB- I"CE POLICY u PIFORMATION PAGE ITEM1 INSURED NAMEAND MA1o;;ING ADDRESS PaYsICAL LOCATION PRODUCEl 0676l3A 100 rrEM2 - lmM3 j Rcntwal of: NEW BUSINESS INTEaRAm SIGN ASSOCIATES. mc. 1160 PIONEER WAY #L, M & N EL CAJON, CA 92020 policy Nn-: u)65101701 DIRECT BILL PolicyTypt; WN 116OPIONEERWAY ' Line: NON-PARTICIPATING #L,M&N Entity: CORPORATION EL CAJON, CA 92020 BilliogType: $TIPULATED Frrqumcy: MONTHLY OTHER WORKF'LACES NOT SHOWN ABOVE Sec WC-00-9945 - ADDITIONALLOCATION ENDORS~NT 95-3762138 MuRRIA & FRICK INSURANCE AGENCY 380 STEVENS BOULEVARD, 1$T FLxH3R SOMA BEACH. CA 92075 Tbe Policy Mod is from : 10~01103 to: 10/01/04 Uk01 A& stanhdtlme at the fkUUW '8 mi&g abs3 A. Workers Compensation Inmmce: Part One of rhe policy applies to the Workers Compensation Law of the SMfeS listed here! CALJFORNh B. Employ.ers IfaMuty Insunncct Part Two of the policy applies to work js each state listed in item 3 .A. The 1Mts ofm liability under Part Two are: C. Other States Insnranre: Pa Tlmeof the policy appk to the sates, if any. limed here: AU 6tates except statem listed In item 3.A and NORTH DAKOTA. OHIO, WASHINGTON, WEST VIRGINIA, WYOMING D. See attached l&t for endorsands ahtl schedules. &-