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Home My WebLink About1925 CALLE BARCELONA; 161; CB032847; PermitCity of 1635 Faraday Av Carls bad Carlsbad, CA 92008 10-1 5-2003 Sign Permit Permit No: CB032847 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: SIGN Status: ISSUED Parcel No: Lot #: 0 Applied: 10/15/2003 Valuation: $2,800.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 10/15/2003 Issued: 1011 5/2003 Project Title: CHICO'S 3 ILLUM WALL SIGN 47SF Inspect Area: 1925 CALLE BARCELONA CBAD St: 161 Applicant: P.S. SERVICES SUITE B 316 E DYER RD 92707 714-513-1870 Owner: 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 $45.79 $0.00 $29.76 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $95.55 Total Fees: $95.55 Total Payments To Date: $0.00 Balance Due: $95.55 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT Address (include BldglSuite #) Legal Description Lot No. Subdivision NamdNumber Unit No. Business Name (at this address) Total # of units Phase No. FOR OFFICE USE ONLY EST. VAL. z80a PLAN CHECK NO. ClZw32~ 77 Plan Ck. Deposit Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address City StateIZip Telephone # 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy nu I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit IS Expiration Date 4 - 1.0 3 < POIICY NO. \J'i lOb.3- 2uO3 ->(Insurance Company ~tcc+il. LW p IL 0.5. F&, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 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 arnployer to criminal penalties and civil fines up to one hundred 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. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 1 (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 I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type Business and Professions Code for this reason: ON0 PROPERTY OWNER SIGNATURE DATE IS SECTION F 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 building 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 NQlNG 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 T CEUTl 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 authorized by such permit is suspended or abandoned at any time after the work is comme ced for a p riod of 180 days (Section 106.4.4 Uniform Building Code). , ->1 DATE /&*(5-03 WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB032847 Type: SIGN CHICO'S 3 ILLUM WALL SIGN 47SF Date Inspection Item Inspector Act Comments 11/26/2003 38 Signs PS AP 10/31/2003 34 Rough Electric PS AP FOR SIGNS 10/31/2003 38 Signs PS AP NOT FINALED 10/21/2003 38 Signs PS NR Wednesday, November 26,2003 __ Page I of 1 CERTIFICAI E HOLDER COPY STATE P.O. BOX 420807, SAN rrwNCisco. CA 94 142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPCNSATION INSURANCP GROlJP POLICY NUMBER 1711n(.3-:ni. 3 (XK 1 IF 16A I F I\) CERTIFICATE EXPIRES ild-o~ - '(Io.1 11 1 - 0 1 -: 003 i 0 1 - 11 1 - 20 0 1 i 1 his is lo r.crliIy lhnl we hnvo isswrJ a valid Worker's (:oii,pcnsnlinn irisitraim? jn1ir.y in a lnriii approved tiy lhc (:nlllnrnia 1risur;iric;c Coiiiiiiissioiicr lo Itic wiyloyc!r iwiiicd bclow I(ir Ilic poky pc:riod iiidicalcd. This policy IS not subject lo cancellaliori by Ihe Fund cxccpl upon 10 days advance wrillcn nnlicc lo Ihe cniploycr. We will also give you 10 days atlvarict? nolice stiriuld Itiis policy he canc,eIlctl prior lo 11s iioriiial expiralion This ccrlilicaln or insurance IS no1 an insurance policy and docs no1 aincnd, exlnnd or allcr Ihc coverage allordcd hy Ihc polir:ics lislnd herein. Nolwithslanding any requnenienl. term or condilion of any contract or olhcr docurricnl with rcspccl to which lhis ccrlilicalc 01 insurance may bc issucd or iriay pcrlain. Ihc insurancc allordcd by Ihc policics described herein is Subject lo all the leriiis. exclusions. and condilions. of such policics SCIF 10262E IEPT-UI: R11