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HomeMy WebLinkAbout1923 CALLE BARCELONA; 136; CB081320; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2008 Sign Permit Permit No CB081320 Building Inspection Request Line (760) 602-2725 Job Address 1923 CALLE BARCELONA CBAD St 136 Permit Type SIGN Status ISSUED Parcel No 2550120400 Lot# 0 Applied 07/09/2008 Valuation $7,00000 Construction Type NEW Enteied By JMA Reference # Plan Approved 07/09/2008 PC # 'ssued 07/09/2008 Project Title LULULEMON 2 ILLUMINATED SIGNS Inspec'Area Applicant Owner FOVELL ENTERPRISES BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/0 DELOITTE TAX LLP 1696 COMMERCE STREET PO BOX 131071 CORONA 92880 CARLSBAD CA 92013 Building Permit $83 55 Add'l Building Permit Fee $0 00 Plan Check $54 31 Add'l Plan Check Fee $0 00 Electrical Fee $0 00 Renewal Fee $0 00 Add'l Renewal Fee $0 00 Other Building Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $137 86 Total Fees $137 86 Total Payments To Date $137 86 Balance Due $0 00 /y^/^T FINAL APPROVA Inspector* -r s Date >J ^~ 'v*~~ g / Clearance NOTICE Please take NOTICE thai approval of your project includes the "Imposition" 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 witti this proje t 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 limitations has previously otherwise expired City of Carlsbad £^ 1635 Faraday Ave , Carlsbad, CA 92008 S Kfy^ . 760-602-2717 / 2718 / 2719 Q^|jr^ Fax 760-602-8558 ^to-^*"®www carlsbadca gov ^Xj^gjyJ^1 Building Permit Application JOB ADDRESS qj. \^-\'2J^> O^i'C' ]D&'V(!!^f lO/V<5V E>ld*Y. £> (%Vzs CT/PROJECTfl LOT* "f PHASE # # OF UNIgT # BEDROOMS " 1 DESCRIPTION OF WORK Include Square Feet of Affected Area(s) f-/) ,^^\\ \\} V?UcL<L EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE j FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX i1 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LI C » ^ Plan Check No. Q& D &"{ 3 2£> IJ Est. Value ^~ ~~\OOO ~ ? Plan Ck. Deposit Date 7 q \ o ? ^ fvVV SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP yr^ J PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO Q YES D NO O APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME 1 CT ,-> r ^>CX>Vio\A_^?£>T- oJz*v^- C-& • ADDRESS d i CITY ^ -r^TATE ZIP PHONE -v FAX EMAIL , ' STATE LIC # CLASS CITY BUS LIC#^ ^ -TZ-4^?2,<\ CL4s~-i Vr^ (Sec 70315 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 islicensed pursuant to the provisions of the Contractor1! License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is iSection 70315 by any applicant for a permit subjects the applicant to a mil penalty of not more than five hundred dollars {$500})B exempt therefrom, and the basis for the alleged exemption Any violaoon of Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations n 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 of the work for which this permit is issued . 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.msurancj earner and policy number are Insurance Co'^ ,\J/"\C^") ftfULHTZA-V^ (/IS- Policy No L^ d* ^Z-^T O^I&V— QO Expiration Date ~~\ 12->\ I 0 o This section need not be completed if the permit is for one hundred dollars ($100) or less n 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, 0amfge£ as provide/f/>r in Section 3706 of the Labor code, interest and attorney's fees JS!> CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor s License Law for the following reason d 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) 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 contractors) licensed pursuant to the Contractor's License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement O Yes O 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 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 Act7 O Yes d 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 D No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' O Yes O 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 (i) Civil Code) Lender's Name Lender's Address I reitfythatl have readttie application and state tliattheabove information isixinBrtandthattheinfomianon on the plans isaccurate I agree tocomplywithallCrty ordinances and State laws relatingto building constructon I hereby auttionze 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 An OSHA permit is required for excavations over 5 0' deep and demolition or constmction of structures over 3 stones in height IRATION Every permit issued by trie 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 1 Sf/days from the date of such permit or if r$e buildirrffSfwork authooZeH by such permit is suspended or abandoned at any time after the work is commenced for. a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE I City of Carlsbad Bldg Inspection Request For 03/10/2009 Permit* CB081320 Title LULULEMON 2 ILLUMINATED SIGNS Description 1923 CALLE BARCELONA 136 Lot 0 Type SIGN Sub Type Job Address Suite Location APPLICANT FOVELL ENTERPRISES Owner Remarks Inspector Assignment Phone 9517346275 Inspector. Total Time CD Description 38 Signs Act Comments Requested By REBECCA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMiDD/YYYY) 04/07/08 PRODUCER LIC #OE28842 Invensure Insurance Brokers A Sherman Parent Prince & Fleming Company 17912 Mitchell South Irvine, CA 92614 Mike _Wells __ _ INSURED Southwest Sign Company 1696 Commerce Street Corona, CA 92880 1-949-756-4100 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 North American Capacityi ~~" i NAIC # INSURERS Peerless Insurance Company _ !_ INSURER C Admiral Insurance Company : INSURERD Zurich American Insurance Company • i INSURERS i COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING 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 :ADD ij POLICY EFFECTIVE POLICY EXPIRATION i . ..,„_LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYI DATE IMM/DD/YY) 1 LIMITS A! ' GENERAL LIABILITY PNG0002716 - 02 04/07/08 0 ' x COMMERCIAL GENERAL LIABILITY ! 1 i CLAIMS MADE * ; OCCUR : i: ; j ''• GEN LAGGREGATE LIMIT APPLIES PER ! ; ' POLICY x | JECT ; j LOC ! B | AUTOMOBILE LIABILITY BA8250045 04/07/08 0 ! i ANY AUTO ' j_ _! ALL OWNED AUTOS : j X_i SCHEDULED AUTOS ; ; : x 1 HIRED AUTOS !x ' NON OWNED AUTOS ! X Comp Ded $1000 I j ! X Coll Ded $1000 : : 1 GARAGE LIABILITY :; | | ANY AUTO C EXCESS/UMBRELLA LIABILITY ; EX0000073 95 - 03 ! 04/07/08 0 I x OCCUR ! CLAIMS MADE 1 I ' DEDUCTIBLE ! RETENTION $ D : WORKERS COMPENSATION AND j WC4280 934 - 00 07/21/07 0 : EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' X : If yes describe under i SPECIAL PROVISIONS below • OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS **Certificate Holder is added as Additional Insured per the attached CG2010 4/07/09 ! EACH OCCURRENCE .$1-000,000 I DAMAGE TO RENTED ... „„„1 PREMISES (Ea occurence) S 50,000 ! MED EXP (Any one person) :Sb,000 PERSONAL &ADV INJURY |$1 000,000 GENERAL AGGREGATE 1 S 2 000 000 | PRODUCTS COMROPAGG i $2,000, 000 4/07/09 1COMBINED SINGLE LIMIT jsl 000 000(Ea accident) j ' 1 • BODILY INJURY • ,(Per person) : BODILY INJURY -i (Per accident) * j PROPERTY DAMAGE .! (Per accident) AUTO ONLY EA ACCIDENT ' $ OTHER THAN _?AAC.2__5 AUTO ONLY AQG , 4/07/09 EACH OCCURRENCE S 3, 000, 000 AGGREGATE .$3,000,000 i S ! s s 7/71 yns X ! WCSTATU | IOTH j7/21/08 x 1 TORY LIMITS! 1 ER | EL EACH ACCIDENT :51,000,000 ,' EL DISEASE EA EMPLOYEE | $1,000, 000 : E L DISEASE POLICYLIMIT ! si, 000, 000 118S CERTIFICATE HOLDER CANCELLATION *Except 10 days for nonpayment of premium SHOULD ANY OF THE AB Southwest Sign Company t>ATE THEREOF THE IS Insureds Purposes Only NOTICE TO THE CERTIFI IMPOSE NO OBLIGATE REPRESENTATIVES OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN CATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL 1 OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPRESENTATIVE f\ . /j /) / ll /)tf ACORD 25 (2001/08) 1 wells8498890 ©ACORD CORPORATION 1988 o3 §n*01 O w D> O m 0>rf n* Of I I ai :as S p1 ^ ;: CD CO en II o s, o i—h m CD o>i—§•o ISJ CO ET 3o o>r*3T ST ^jn° 01 Carlsbad CACO o o 0 ?00 »N) 3DO a E " 5" ort £> 1 TJ 2Dto Ul 1923 Call« B;io ~ 1u. PT *S Tho Forumn S g yi SN Lululcmun AtZ « D r 3 | J 1' 5" 5 O ? g;f 0 ? 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