HomeMy WebLinkAbout1925 CALLE BARCELONA; 157; CB040087; Permit01 -09-2004
Job Address:
Penit Type:
Parcel No: Valuation: Reference #:
Project Title:
Applicant: P.S. SERVICES
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Sign Permit Permit No: CB040087
SUITE B 316 E DYER RD 92707 71 4-51 3-1 870
1925 CALLE BARCELONA CBAD St: 157
SIGN Status: ISSUED
$1,950.00 Construction Type: NEW Entered By: MEL Lot#: 0 Applied: 01/09/2004
Plan Approved: 01/09/2004 issued: 01/09/2004 FORUM-INSTAL SIGN Inspect Area:
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
$38.1 3
$0.00 $24.78 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00
$62.91
Total Fees: $62.91 Total Payments To Date: $0.00 Balance Due: $62.91
FOR OFFICE USE ONLY
PLAN CHECK NO.&) poo8?
EST. VAL. /5 .rc/*
Plan Ck. Deposit
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units
.Assessor's Parcel X 95, &nl-=~,,,,'~.+tr~q Existing Use Proposed Use I-- &57i+u. ,d4 fi) sePoFCe* 5 - dq#?r # of Bedrooms X of Bathrooms Description of WorC3) &J -2C AL~~AJ id4 5 SO. FT. #of Stories
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a ,civil penalty of not mor than fiv hundred dollars IS5001).
Name Address City ' State/Zip Telephone #
State License Y 6 /"/ 6% License Class C/O /C ~r City Business License #
Designer Name Address City StateEip Telephone
?#St 6w;cer. ZJC 3/6 E, Oyr2 a eo. .#rs %A 4dl04 '1 CriL/$Zk7A/L/-5-/?-/v?"
tate License #
a of the work for which this permit is issued.
Eed. My worker's compensation insurance carrier and policy number are:
Insurance Company STATE F~J 4 Policy NO. /7 &//O 6 3- ZOO 3 Expiration Date y- / 200 y
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l~lOO1 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
WARNINQ: Fdlum
thousand dolha ($1
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
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
coverage b unlawftd, and &ai subject an employer to c
compensation, damages as provided for in haion 3706 o
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 Profeseions 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 comacting 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 / 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 improvemat. 0 YES ON0
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the followlng person (firm) to provide the proposed construction (include name / address / phone number / 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 / address / phone
I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number / type
Business and Professions Code for this reason:
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 26506, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 EMERaENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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
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 Cit) 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
authorized by such permit is not commenced wit
at any time after the work is commenced fo
APPLICANT'S SIGNATURE DATE
provisions of this Code shall expire by limitation and become null and void if the building or work
date of such permit or if the building or work authorized by such permit is suspended or abandoned
tion 106.4.4 Uniform Building Code).
City of Carlsbad Bldg Inspection Request
For: 0 1 /26/2004
Permit# CB040087 Inspector Assignment:
Title: FORUM-INSTAL SIGN
Description:
Type: SIGN Sub Type:
Job Address: 1925 CALLE BARCELONA
Suite: 157 Lot 0
Location:
APPLICANT P.S. SERVICES
Owner:
Remarks: FINAL SIGN AND AWNING- ROLLED FROM FRI.
Phone: 7196717042
Inspector: 5s
Total Time: Requested By: LARRY
CD Description
19 Final Structural
Entered By: CHRISTINE
Comment
Associated PCRs/CVs
Date
Inspection History
Description Act lnsp Comments