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Home My WebLink About1923 CALLE BARCELONA; 139; CB042097; Permit65-27-2004. Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: c(eaa/ 5 aq ty of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Sign Permit Permit No: CB042097 1923 CALLE BARCELONA CBAD St: 139 SIGN Status: ISSUED $2,000.00 Construction Type: NEW Entered By: FM Lot#: 0 Applied: 05/27/2004 Plan Approved: 05/27/2004 Issued: 05/27/2004 JOS A BANKS 26SF ILLUM WALL SIGN & 6SF OF BLADE SIGN Inspect Area: Amlicant: CL'EAR SIGN AND DESIGN 170 NAVAJO ST. 92069 736-81 1 1 Owner: 3iM 05/27/04 0002 01 02 CGP 82.91 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 $38.1 3 $0.00 $24.78 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $82.91 $82.91 Total Fees: $82.91 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL Inspector: Date: ~d~ay~ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter 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 tile 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 feeslexactions 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 oreviouslv been aiven a NOTICE similar to this, or as lo which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. CfldWH EST. VAL. J,O- 4 Plan Ck. Deposit Validated By .fl Date F'-a/7-ry Name Address City Statelzip Telephone # Fax # Own City Statelzip Telephone # Name Address (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 of the Contractor's License Law IChapter 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 the applicant to a civil penalty of not more than five hundred dollars [$5001). 3 *a 11 U(9 7bO am S+ 5an Mar cosca9 P QdddrLss city Statelzip Telephone # ' ::a:: License # 7yuS 4 s-Y License Class C 10 City Business License # /Lo 3287 StateEip Telephone Designer Name Address City State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance 2 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: e work for which this permit is issued. Insurance Company \'A sm+i Policy NO.- I. Expiration Date (!or OMPLETED IF THE PERM~IS FOR ONE HUNDRED DOLLARS i$iooi 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 crlminal penalties and civil fines up to one hundred thousand dollars ~$100,0001, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 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 contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. 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 / phone 1 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 of work): PROPERTY OWNER SIGNATURE DATE E THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ON 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 buiiding 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 CONSTRUCTlON LENDING AGEN 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 LENDER'S ADDRESS 9 ANT- CERTlF€C&TlON 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. 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 authonzed by such permit is suspended or abandoned at any time after the work i APPLICANT'S SIGNATURE SI Z-~/O%\ L WHITE: File YELLOW: Applicant PINK: Finance I City of Carlsbad Bldg Inspection Request For: 09/21 /2004 Permit# CB042097 Title: JOS A BANKS 26SF ILLUM WALL Description: SIGN & 6SF OF BLADE SIGN Type: SIGN Sub Type: Job Address: 1923 CALLE BARCELONA Suite: 139 Lot 0 Location: APPLICANT CLEAR SIGN AND DESIGN Owner: Remarks: Inspector Assignment: RB Phone: 76073681 11 Inspector: Total Time: Requested By: MARILYN CD Description 38 Signs Entered By: CHRISTINE Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 09/10/2004 38 Signs CA PY 09/09/2004 38 Signs CO RB NO ACCESS TO TRANSFORMER, ETC. 09/09/2004 39 Final Electrical CO RB 09/08/2004 38 Signs NS RB 09/08/2004 39 Final Electrical NS RB 08/13/2004 38 Signs CO PS NOPLANSONSITE I ACORD, CERTIFICATE OF LIABILITY INSURANCE GEN'I. AQQREGATE LIMIT 4PPLIE3 PER' PROOLCTS . COMPlOP GO .$ 7 POLICY rqgg nLoC --- AUTOMOBILE LIABILITY COM8lNED SINGLE LIMIT s (€8 RCCldeflt) ANY AUTO AD lneurance Services PO Box 2BlPQO San Fr+aieco, CA 94128 I GARAGE LlABlLlrY THIS CERTIFICATE IS ISSUED AS A MAlTER OF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlFlCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES BELOW. AUfDbNLY. EAACCIDENT I S I INSURERS AFFORDlNG COVERAGE NAIC # (877)234-4420 INSURE0 INSURERA Virgh$4 SUZOfy CO~€UlY, XAC fi Cleas Sign k Design, Inc. INSURER 8; 170 Navajo St. INSURER C: INSURER D: san Maeuos, CA 92069 *' CTL 1173 147784 tNSURER E COVERAGES MY AUTO EXCESWUMBRELLA LIA8ILlTY MEI) EXP @ny On0 POf%W) f PERSONAL d ADv INJURY 5 OENEAAL AGGREGATE s OTHER THAN EA I $ AUTO ONLY: Am I $ EACHOCCURENCE I$ Contractors Stat4 Licenae Board Sacrananto, CA 95825 PO Box 26000 Attn: W/C Unit ALL OWNED AUTOS SCHEDULE0 AUMS HIRED AUTOS NON-OWNED AUTOS SHOULD ANY OPTWE ABOVE DESCRlBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL QAVSWITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 'IW DO SO SHALL IMPOSE NO 06LIQAT)ON OR LlA8lLlTY OF 4NY KINO UPON THE INSURER, ITS AGENTS OR 30 1lH I BODILY INJUW (Psr pason) BODILY INJURY I (Per mldent) I PROPERTY DAMAGE I (Per flcddsm) IS 5 I OESCRIPTION OF OPEAATIONSI LOCNlONSIVEHIMESI EXCLUSION8 AODED BY ENDORSEMENTI SPECIAL PRbVlSlcMS 74.5954 AUTHORIZED REPRESENTATIVE 78336 I -- - 1 Q ACORD CORPORATlON 7988 ACORD 25 (2001/08)