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1923 CALLE BARCELONA; 141; CB132315; Permit
09-24-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBI32315 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No. Valuation Reference # PC# Project Title 1923 CALLE BARCELONA CBAD St 141 SIGN 2550120400 Lot# 0 $5,000 00 Construction Type' NEW JOS A BANK - NEW ILLUM. SIGN status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/24/2013 JMA 09/24/2013 09/24/2013 Applicant ALL CALIFORNIA SIGNA APT J 848 AMIGOS WAY NEWPORT BEACH CA 92660-4579 949-209-8716 Owner T-C FORUM AT CARLSBAD LLC C/o TIAA-CREF 4675 MACARTHUR CT #1100 NEWPORT BEACH CA 92660 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 $77.87 $0 00 $54 51 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $132 38 Total Fees $132 38 Total Payments To Date $0 00 Balance Due: $132.38 Inspector FINAL AP^ Date Clearance NOTICE Please take NOTICE thafj/approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exactions" have 90 days from ttie date ttiis permit was issued to protest imposition of ttiese fees/exactions If you protest them, you must follow ttie protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any ottier 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 with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv ottierwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: n PLANNING IZlENGINEERING •BUILDING •FIRE QHEALTH •HAZMAT/APCD m CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email, building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (J^ 1^ "2^3 I ^ Est. Value ^ S. Plan Ck. Deposit Date SWPPP K>B ADDRESSk surre#/SPACE#/UNIT# Tos!A.Bank, The Forum, 1923 Calle Barcelona, Csrisbad, CA 92009 APN 255-a CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME Jos.A.Bank CONSTR TVPE OCC GROUP DESCRIPTION OF WORK: /nc/ude Squaie Feet af Affected Areafs) (1) 20" X ir-8" set face lit channel letters "Jos.A.Bank" (Total 19.89 Sq.Ft.) NOTE: Replaces existing letters "Jos.A.Bank Clothiers (Total 21 Sq Ft.) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YEsQ* N0| I AIR CONDrriONING YES •NO • FIRE SPRINKLERS YES I |Na| I APPLICANT NAME (Primary Contact) All California Signs APPUCANTNAME ^Secondary Contact) ADDRESS 848 Amigos Way. Unit J ADDRESS QTY Newport Beach STATE CA ZIP 92660 CITY STATE ZIP PHONE 949-209-8716 FAX PHONE FAX ElVIAIL EMAIL bcomerOacsian.com PROPERTY OWNER N Barnes Lambert, The Forum, Carlsbad CONTRACTOR BUS. NAME All California Signs ADDRESS c/o Jones, Lang, Lasalle1125 Santuary Pkwy. CITY STATE ZIP ,DDRESS 848 Amigos Way, Unit J Alpharetta, GA 30009 CITY Newport Beach STATE CA ZIP 92660 PHONE (678) 226-5301 FAX PHONE 949-209-8716 FAX EMAIL Ann.Nance@am.jll.com EMAIL bcomer@acsign.com ARCH/DESIGNER NAME & ADORESS 636326 CLASS C-45 CITY BUS UC# y . Appi i eg iuar|be, fclso requires the (Sec. 7031.5 Business and Professions Code Any City or County wtiich requires a permit to construct, alter, improve, demolisti or repair any structure, priorto its issuarpe, else requires the applicant for sucti permit to file a signed statement ttiat he is licensed pursuant tc the provisions of the Contractor's bcense Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code} or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensalian Declaration. / hereby affirm under penalty ofpeijury one of Uie following declarations • I have and will maintain a certificate of consent to self-insure for worker' compensation as provided by Section 3700 of Labor Code, for the per^rmance of the work for which thfs pennit is issued i have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, for the performanceof the work for whicli thispeimit is issued My workers' compensation insurance camer and policy State Fund PoBcy No Pdl I *t I *tO*f JQ Expiration Date. 3-1-14 numberare InsuranceCo. This section need not be completed if the pennit is for one hundred dollars ($100) or less I I Certificate of Exemption: I ceitfy that in the perfomiance ofthe work for wtiich this permit is issued, I shall not employ any person m 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, damagesas provided for in Section 3706 of the Labor code, mterest and attomey's fees. ^CONTRACTORSIGNATURE ^IJC^CIOMV^C!orrVWl/\ • AGENT DATE 9-19-13 I hereby affm that I am exempt from Contractor's License Law for the following reason I I I, as ovmer of the properly or my employees with wages as their sole compensation, wiD do the wori< and the stnicture is not intended or offered for sale (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an ovirner of property who builds or improves thereon, and who does such work himself or through his own emptoyees, 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-buader will have the burden of proving that he did not build or improve for the purpose of sale) I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro)ect (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 proiects with contractor(s) licensed pursuant to the Contractor's License Law) I I I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for constnjction of the proposed property improvement •Yes ^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 (fimi) to provide the proposed constmction (include name address / phone / contractors' license number) 4 I plan to provide portions of the worts, but I have hired the follovnng person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number) 6.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the wori< indicated (include name / address / phone / type of wori<) yfiTPROPERTY OWNER SIGNAT\JRE •AGENT DATE e® (ffl (Pds TP [I 'iPciODS s(ie'iro®G3 P®B (ia®cii=isiiso®Bcs'i?0(aa. EJODOILIDOGS® (pemsaovs ©Gsa'i? Is the applicant or future building occupant required to submit a business plajj, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' Yes Jfco „ Is the applicant or future buiWing occupant required to obtain a permit from the air pollution control distnct or a^ualily management distncP Yes '* No Isthefaality to be constructed within 1,000 feet of the outer boundary of a school site'' Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. (§®G!]S'i7BQDS'iJ0®G3 I1SG3®0C3@ zSiOSCSgV I tiereby affirm ttiat there is a construction lending agency for ttie performance of ttie work tfiis permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I ceiti^ that I have read the application and state thatthe above mfonnation is conect and that the mfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building constmction. I tiereby aultionze representative ol the Cify of Cailsbad to enter upon the above nsntioned property Ibr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH IVIAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemiit is required fbr excavations over 5'0' deep and demolition or construction of stmctures over 3 stones in height EXPIRATION. EvBiy permit issued by the Bulding Oflicial under Ihs pnsvisions of Bits Code shall expire by Smitation and become null and void if lha buiUing or yxxk authonzed by such pemut is not commenced withm 180 days from the date of sudi pemiit or ifthe buJding or wort( authonzed by such permit is suspended or abandoned at any time after the wori( is commenced fbr a penod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 9-19-13 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foliowing ONLY if a Certificate of Occupancy wili be requested at final inspection. C E R T 1 CATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email building(8)carlsbadca.qov or Mall the (X)mpleted form to Cily of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPUCANT'S SIGNATURE DATE Inspection List Permit*: CB132315 Type: SIGN JOS. A BANK - NEW ILLUM. SIGN Date Inspection Item 10/31/2013 38 Signs 10/31/2013 38 Signs 10/30/2013 38 Signs 10/30/2013 38 Signs Inspector PY PY Act Rl AP Rl CA Comments after 10 am Friday, November 01, 2013 Page 1 of 1