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Home My WebLink About1923 Calle Barcelona; 147; CBC2017-0257; PermitCommercial Permit Print Date: 06/12/2018 Job Address: 1923 Calle Barcelona, 147 Permit Type: BLDG-Commercial Work Class: Sign Parcel No: 2550120400 Lot#: Valuation: $ 4,000.00 Reference#: DEV2017-0097 Occupancy Group: Construction Type # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: EVERYTHING BUT WATER Description: EVERYTHING BUT WATER: 1-14 SF ILLUM SIGN// 1-BLADE SIGN FEE BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) Owner: T-C FORUM AT CARLSBAD LLC 4675 Macarthur Ct Tiaa-Cref, 110 NEWPORT BEACH, CA 92660 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 148.08 Total Payments To Date : $ 148.08 (City of Carlsbad Permit No: CBC2017-0257 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: Closed -Expired 05/17/2017 05/17/2017 INACTIVE -RNF SIGNS INC 330 E Newmark Ave Monterey Park, CA 91755-2908 Balance Due: AMOUNT $61.74 $43.22 $41.00 $1.00 $1.12 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 limitation has previously otherwise expired. 72c -{), ~'c~ Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG 0FIRE 0HEALTH 0HAZMAT/APCD p C£>l W 1,-00'\'::f- (_ City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNIT# \ 1 # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) , i\\\).\'f\\~ E,\~ 14 1,-ff \ ViMe s,~n L\:. ~ Est. Value Plan Ck. Deposit Date SWPPP OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES0 AIR CONDITIONING Nc0 YES0No0 FIRE SPRINKLERS vesONoO APPLICANT NAME PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # (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 per.mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom. and the basis for the 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' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [:I 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 ~~nsation, as reQUired by Section 3700 of the Larr·ci the performance of the work for which this permit is issued. My workers' compensation insurance carrier and ix:,licy aombe, are, lnsomnce Co. ~-\ffiJrOX'(l1 (\ Polo, No.9\~"8L\:\.O • 2.D\\o Expi,aton Date J · '2-'-\ · 0 ~section need not be completed if the permit is for one hundred dollars {$100) or less LJ 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' compensa 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, damag provid ti f the Labor code, Interest and attorney's fees. 65 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I, as owner of the property or my em~oyees with wages as their sole compensation, will do the worll 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 sucl1 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 bi.mien of proving that he did not build or Improve for the purpose of sale). D D D 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). 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. 0Yes 0No 2. I (have I have not) signed an applicaUon for a building perm~ for the proix:,sed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide ix:,rtions 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 contractors' license number): 5. I will provide some of the work, but\ have contracted (hired) the following persons to provkle the work indicated (include name I address I phone I type of work): Jc5 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air Quality management district? Yes No Is the facility 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have iead the appllcatlon and state that the abcNe Information Is cxmectand that the infonnation on the plans Is accura1e. I agree to comply with all City ordinances and State 18\\6 relating to building oonstructlon. I hereby authorize rer,esentative of the City of Carisboo toenteruJX)ll the atxive mentioned property br inspection purp::ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB.A.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID crTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is requred for excavations over 5'0' deep and demditKm or construction of structures over 3 stories in he':Jht. EXPIRATION: Every permit issued by the Buik:ling Offcia.l under the vlsk:lns of this Oxle shall expire by limitatiOn and beo:lme null and void W the buik:ling oroork authorized 1:1/ sudl permit is not commenced 'Mthin 180 days from the date of sudl permit or rt the buikf oroork sud'I It is suspended or abandoned at anytime after the w:ir1c. is oommenced bra period of 180 days (Eectbn 106.4.4 Uniform Buikling Cooe) AS APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- A5 APPLICANT'S SIGNATURE ASSOCIATED CB#·------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP