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Home My WebLink About1923 CALLE BARCELONA; 138; CB081252; Permit07-01-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB081252 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1923 CALLE BARCELONA CBADSt 138 SIGN 2550120400 Lot# 0 $6,000 00 Construction Type NEW APPLE COMPUTERS-SIGN OVER ENTRY-W/ELECTRIC Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/01/2008 RMA 07/01/2008 07/01/2008 Applicant DICKINSON CAMERON CONSTRUCTION 140 LOMAS SANTA FE DR SOLANA BEACH CA 92075 858793-9104 Owner BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/O DELOITTE TAX LLP PO BOX 131071 CARLSBAD CA 92013 Building Permit Add'l Building Permit Fee Plan Check Add I Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $7515 $000 $4885 $000 $2000 $000 $000 $000 $000 $144 00 Total Fees $144 00 Total Payments To Date $144 00 Balance Due $000 Inspector FINAL APPROVAL Date —Clearance NOTICE Please take NOTICE ttra approval of your project includes the Imposition of fees dedications reservations Brother exactions hereafter collectively referred to as fees/exactions YSHJ have 90 days from the date this permit was issued to protest imposition of these fee"/exactions If you protest them you must follow the protest procedures set torth in Government Code Section 66020(a) and file the protest and any othei 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 wate' nd 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of Imitation- *ias previously otherwise expired City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 71606028558 www carlsbadca gov Building Permit Application Plan Check No Est Value Plan Ck Deposit Date JOB ADDRESSV ^ i^Z.3 cCXKt? ^>#. f i^, (CM. o^ CT/PROJECT/f LOT* PHASE # # OF UNITS # BEDROOMS ^ITE*/SPACE^NIT^ * BATHROOMS TENANT BUSINESS NAME rtPPLL fou INSCRIPTION OF WORK Include Square Feet of Affected Area(s) - CONSTR TYPE OCC GROUP l\MJj • ' J " / / f / ^/ ^LU» ; fk- ^ 1 o*. tf-e. S c^^f /,"% Uj-i <\<u (AJI S/jstf/TAst^ U EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME / ADDRESS / CITY STATE ZIP PHONE FAX EMAIL V ARCH/DESIGNER NAME & ADDRESS STATE LIC * \ PATIOS (SF) DECK'j (SF) FIREPLACE YESD # NC APPLICANT NAME AIR CONDITIONING FIRE SPRINKLERS ) D YES D NO D YES D NO D ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR QUS NAME ADDRESS^ , .. ju**sv*t £™sfWr<n^ ^ /> ,^Z40 CITY STATE ZIP PHONE FAX EMAIL J~<£-rT~ P ft /cSKC/VVsJ *~r\ Cft STATE LIC # CLA A*\g/fC/IA~ (_0)Ar*~ SS CITY BUS LIC# ^i / "7 / f ~~J f2\^ ' r-** Cf / r7 ec 703 1 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or rej!air any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is censed .pursuant to the provisions of the Contractors License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Coce} or that he is exempt therefrom and die basis for the alleged exemption Any violation of tenon 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {{500}) Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations L~) I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labcr Code for the performance of the work for which this permit is issued Kl 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 workers compensation insurance carrier and policy ^ number are Insurance Co ^ f^J-ii f^ .^ ^ ft ^W ffrM CjD . Policy No ,1) T<g US ZIUZ-t-jfT-O 7 Expiration Date ^///** ^ This section need not be completed if the permit is for one hundred dollars ($100) or less C] 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 thousand dollars (&100 000) in addition to the cost of compensation damages-ss provided for in S*ctiofi\J706 ofthe Labor code interest and attorney s fees / ^CONTRACTORSIGNATURE V ( M^H^I fl XfllS DATfiJ *?/J/0 ff / hereby affirm fftaf / am exempt from Contractor s License Law for the following reason n I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not mtendec 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) O 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 Contractors License Law) a I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes CJ No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 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 / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE 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? d Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' O Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes a No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 Ji) Civil Code) 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 j I hereby authonze representative 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 OSHAAnOSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones n 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 aulhonzed by such permit is not commenced witfiin 180 days from the date of such permit or if the buildTOfrfcrork authorized by sucfTparmit is suspended or abandoned at any tone after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) \ / / l/i /I sJ I 'I /I I ^APPLICANT S SIGNATURE DATE PERMIT # UNSCHEDULED BUILDING INSPECT! JOB ADDRESS DESCRIPTION CODE DESCRIPTION PLAN CHECK ACT ACORD^ CERTIFICATE OF LIABILITY INSURANCE PRODUCER OA99520 1-619-234-6848 Cavignac & Associates 450 B Street Suite 1800 San Diego CA 92101-8005 INSURED Dickinson Cameron Construction Company Inc 140 Lomas Santa Fe, Suite 200 Solana Beach CA 92075 1 DATE (MM/DD/YY) 05/30/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Westchester Fire Insurance Company INSURERS Travelers Property Casualty Company of America INSURER C The Travelers Indemnity Company of Connecticut INSURER D INSURER E COVERAGES ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR A B A C B TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | x | OCCUR X BI/PD Deduct $5 000 GEN L AGGREGATE LIMIT APPLIES PER | POLICY fxl $CT 1 LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY X 1 OCCUR | j CLAIMS MADE DEDUCTIBLE X RETENTION $NIL WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER Bus Personal Property Special form replacement cost coverages apply POLICY NUMBER G22013518003 BA2792L25108CNS G2201352A003 DTEUB272L14208 QT6604024M947TIL08 POLICY EFFECTIVE DATE (MM/DD/YY) 06/01/08 06/01/08 06/01/08 06/01/08 06/01/08 POLICY EXPIRATION DATE IMM/DD/YY) 06/01/09 0(>/01/09 Of>/01/09 06/01/09 06/01/09 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG Employee Benefits COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE X WC STATU * TORY LIMITS OTH- ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT Limit Deductible $ 1 000 000 $ 100 000 $ 5,000 $ 1 000 000 $ 2 000 000 $ 2 000,000 1 000 000 $ 1 000 000 $ $ $ $ $ $ $ 10 000,000 $ 10 000 000 $ $ $ $ 1 000,000 $ 1 000 000 $ 1,000,000 i 126,000 * 1 000 t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS For informational purposes only CERTIFICATE HOLDER N ADDITIONAL INSURED INSURER LETTER CANCELLATION LO days HOC for non-payment of premium Specimen Certificate SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTII ICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ,--,/)• i ^/V^-->-- ACORD 25-S (7/97) Katherine 8951293 9 ACORD CORPORATION 1988 Certificate Delivery by CertificatesNow www ConfirmNet com 877 669 8600 dickmson cameron STATEMENT OF AUTHORIZATION I hereby authorize the following person(s) to obtain business license &/or pull permits on my behalf Jeff Goebel Printed Name/Signature Michelle Torres Printed Name/Signature Donnis Edmger Printed Name/Signature Driver s License/Social Security # Driver's License/Social Security # Driver's License/Social Security # I understand that my signature below acts as a continuous authorization until such time as I submit a written document canceling such authorization of any or all of the persons listed above The above statements pertain to all state and local governmental activities in the State of California, City of Carlsbad April 30. 2008 Date Dickinson Cameron Construction Co . Inc Company Name ^d- CHANEUE (NAME REGOLI f Commission* 1772*26 I Notary PubHc - California I Son Dtogo County jy Signatdfel Frank C Naliboff Name (Printed or Typed) 690239 Contractor's License Number State of California County of San Diego Subscribed and sworn (affirmed) before me this 29th day of April 2008 (by F rank C Naliboff) Chcinelle M Regoli, Notary Public 858 1793 9IOH f 793 9 I I Z ,"uiiuj d'icikrn'so.n'cYiiiBVbn'"com ; • <£A1M.. . J.1-. .'i •*..'. - _•'._...•. z.v /.A..VJ ••^'«.--J.i'": '.