HomeMy WebLinkAbout1925 CALLE BARCELONA; 160; CB053620; PermitCity of Carlsbad . 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
10-1 9-2005 Sign Permit Permit No: CB053620
Job Address:
Permit Type: SIGN Status: ISSUED
Parcel No: 2550120400 Lot #: 0 Applied: 10/19/2005
Valuation: $2,000.00 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 10/19/2005 Issued: 10/19/2005
Project Title: CHICOS- ILLUMINATED WALL SIGN Inspect Area:
1925 CALLE BARCELONA CBAD St: 160
Applicant: BUDGE-IT SIGN
10050 MESA MADERA DR 921 06
Owner: BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L
C/O DELOllTE TAX LLP P 0 BOX 131071 CARLSBAD CA 9201 3
Building Permit
Addl Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Renewal Fee
Addl Renewal Fee
Other Building Fee
Additional Fees
$38.13
$0.00
$24.78
$0.00
$20.00
$0.00
$0.00
$0.00 $0.00
TOTAL PERMIT FEES $82.91
Total Fees: $82.91 Total Payments To Date: $82.91 Balance Due: $0.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. d-6 0 s 3u =LO
EST. VAL. ~,OOO
Date JO // 4 lflq -GGz--- Plan Ck. Deposit
Validated By
-
Lagal hscription Lot No. Subdivision NamdNumber Unit No. Phase No. Total # of units
Ass#isor'r Parcel I Existing Use Proposed Use
Name Address City StateEip Telephone X Fax X
Telephone #
City Business License X &p&v
Address City StateEip Telephone
0 of the work for which this permit is issued. --"a
I have and will maintain a cmtificate 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 2 8 9, b
IF THE PERMIT IS FOR ONE HUNDRED DOLLARS Ibl001 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
I hereby effirm that I am exempt from the Contractor's License Law for the following reason:
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 end 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 1, M owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The
Contractor's Licensa Law does not apply to an owner of p'roperty 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.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
i (have /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 / 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 linclude name I address / phone
I will Drovide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
Business and Professions Code for this reason:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program Undw Sections 26605, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act)
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? fl 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 c] NO
0 YES 0 NO
I hereby effirm that there is a construction lending agency for the performance of t
LENDER'S NAME LENDER'S ADDRESS
s permit is issued (Sec. 3097(i) Civil Code).
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 QRANTING 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 penlt 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). - -- - APPLICANT'S SIGNATUR DATE/O-/~ 8 3
WHITE: File YELLOW Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 1 1 /01 /ZOO5
Permit# CB053620 Inspector Assignment
Title: CHICO'S- ILLUMINATED WALL SIGN
Description:
Type: SIGN Sub Type:
Job Address: 1925 CALLE BARCELONA
Suite: 160 Lot 0
Location:
APPLICANT BUDGE-IT SIGN
Owner:
Remarks:
8 Inspector:
Total Time: Requested By: NA
CD Description Act Comment
Entered By: CHRISTINE
38 Signs
1 -~ - -~ Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
09-22-' 85 18: 13 FROM-Russell Crane 623-412-3666 T-340 P004/flfl5 F-291
.. . ..... .. . ..
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. . . .. . ..
4
5 i i 1
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58 0 CF w 0
h Y
I-
16-12-' 85 15: 24 FROM-Russell Crane 623-432-3666 T-121 PBB2/883 F-835
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POLICYHOLDER COPY
STATE P.O. BOX I COMPENSATION -
INSURANCE F u N I=) CERTIFICATE
ISSUE DATE: 04-01-2005
807, SAN FRANCISC0,CA 94 142-0807
OF WORKERS' COMPENSATION INSURANCE
CONTRACTORS STATE LICENSE BOARD SD WORKERS COMPENSATION UNIT PO BOX 26000 SACRAMENTO CA 95826
GROUP
POLICY NUMBER
CERTIFICATE ID
1780412-2005 1
CERTIFICATE EXPIRES 04-01-20O6 04-01-2005/04-01-2006
LICENSE NUMBER: #394340 1 NCEPTION DATE : 04-01 -2005 D.o. : SD
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon lodays' advance written notice to the employer.
We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend. extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1 ,OOO,OOO.OO PER OCCURRENCE.
STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE
FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. -
EMPLOYER
ROBERT J. MILLER
SAN DIEGO CA 92131 10050 MESA MADERA OR
LEGAL NAME
MILLER, ROBERT J. AND
MILLER, DELLA