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Home My WebLink About1923 CALLE BARCELONA; 145; CB040048; Permit'01 -06-2004 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Atmlicant: STANFORD SIGNS INC 2556 FAIVRE ST. CHUM VISTA, CA 91 91 1 61 9-423-6200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Sign Permit Permit No: CB040048 1923 CALLE BARCELONA CBAD St: 145 SIGN Status: ISSUED $2,200.00 Construction Type: NEW Entered By: MEL Lot #: 0 Applied: 01/06/2004 Plan Approved: 01/06/2004 Issued: 01/06/2004 FORUM TRE-INSTAL SIGN WIELEC Inspect Area : 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 $45.79 $0.00 $29.76 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $95.55 Total Fees: $95.55 Total Payments To Date: $0.00 Balance Due: $95.55 I FINAL APPROVAL PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.(& moo gr EST. VAL. Plan Ck. Deposit - Validated By Date Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Proposed Use Description of Work SQTFT. ' #of Stories # of Bedrooms # of Bathrooms Name Address city Statelzip Telephone # Fax # issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law Name City Statelzip State License # Designer Name Address City Statelzip Telephone 0 of the work for which this permit is issued. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance ion 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company Policy No. Expiration Date 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful. and shall subject M employer to criminal penalties end civil fines up to one hundred (THIS SECTION NEED NOT BE COMPLETED IF'THE PERMIT IS FOR ONE HUNDRED DOLLARS [$io01 OR LESS) - ation, damages as provided for in Section 3706 of the and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor' 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. 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 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 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 I phone number I type Business and Professions Code for this reason: of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-R€S/DDV7blL BUlLDlNO PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES FNO 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 e 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. or risk management and prevention 0 YES &O 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). LENDERS NAME LENDERS 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 at any time after the work is comme APPLICANT'S SIGNATURE DATE authorized by such permit is not comm t or if the building or work authorized by pplicant PINK: Finance Inspection List Permit#: CB040048 Type: SIGN FORUM TRE-INSTAL SIGN WELEC Date Inspection Item Inspector Act Comments 01/12/2004 38 Signs PS NR NO SIGN UP Monday, December 20,2004 Page 1 of 1 POWER OF ATTORNEY STANFORD SIGN dk AWMNG, INC., a corporation organized and existing under the laws of the State of California, with it's principal office at 2556 Faiw St., Chula Vista in it's capacity as a California state licensed contractor, hereby appoints, Steve Attebemy, a nqxesentative of Stanford Sign & Awning, Inc. as it's attorney in fhct for the following purposes: To apply for, execute, Ileceive and perform all other acts necessary to be done to obtain permits. The rights, powers and authority of the within appointed attorney in fact to exercise any and all of the rights and powers herein granted shall commence on January 1,2003 and shall remain in full force and effect until January 1,2004. Authority to graut this power of attorney was coderred by resolution of the board of dimtors, hereby ratifies and confirms everything that the within appointed attorney in fhct may lawhlly do by virtue of this instnune nt /-- Dated: November 10,2003 w David B. LeSage, President 2556 FAFMUE STREEET, CHUM VISTA, CA 9191 1 6194236#)0 FAX 61- .- - at8 of California H CONTRACTORS STATE UCENSE BOARD a- ACTIVE LICENSE cuwu*a Afbkr LK~U mmtrr 62061 7 Em GORP Lwlrrl,,,,,. STANFORD SIGNS INCORPORATED POUCYHOLDER COPY P.O. BOX 807, SAN FRANCISC0,CA 94342-0807 .? .. P > CERTIFICATE OF WORKERS' COMPENSATl~zlNsuRANcE 1 ISSUE DATE 04-01-2003 GROUP: oocH78 POLICY NUMBER 0000075-2003 CERTlFlCATE 9 10 CERMlckTE s: 01-01-2004 ' 04-0~,01-01-2004 CITY OF SAN DIEGO SD . Joe;' AiL ;Dp;RATI~ ATTN: DEbELOPRENT SERVICES DEPARTRENT SAN DIEGO CA 92101-4153 * 1222 FIRST AVENUE. PIS 301 SD This is to certify that we have issued a did Workers' Compensation inswmce policy in a form approved by the California Insurance Conmissioner to ths emptoyer nmed below far the policy period indicated. This policy is not subject to cncellation by the Fund except upon days' advance written notice to the employer. Wc wit1 also give yw 30 days' advrrce notice should this policy be cncellsd prior to its normal expiration This certificate of insurnce is not & kame policy and das not extend'or alter ths coverage afforded by the policies listed hassin Notwithrrtafuling my requircr_nent term. or condition of any contract or other document with respect to which this certifde of insurance rmy bk issued or may'pertah the inswmce afforded by the policies described herein is subject to all the terms. exclusions ad condifionr of such policies AUTHORIZED REPRESENTATIM PRESIDENT : ." EMPLQVER'S LIABILITY LIMIT IN#MING DEFENSE COSTS: $l.~,oOp.OO PER'O&lRRENCE. ENDORSEMENT 82065 WITLED CERTIFICATE HOLDERS' NOTICE EFFECTI'W 04-01-2003 IS A~~ACHED TO AM) FORMS A PART OF THIS POLICY. EMPLOYER STANFORD SIGNS INCORPORATED 2556 FAIVRE ST. LEGAL NAME