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Home My WebLink About1925 CALLE BARCELONA; 169; CB164041; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-27-2016 Sign Permit Permit No: CB164041 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1925 CALLE BARCELONA CBAD St: 169 SIGN Status: Parcel No: Valuation: Reference #: PC#: 2550120400 $5,500.00 Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: PRESSED JUICERY: 2 ILLUM SIGNS Inspect Area: Applicant: SIGNAGE SOLUTIONS 1336 ALLEC ST 92805 714 491-0299 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 Owner: T-C FORUM AT CARLSBAD L L C C/0 TIAA-CREF 4675 MACARTHUR CT #11 00 NEWPORT BEACH CA 92660 ISSUED 10/27/2016 SLE 10/27/2016 10/27/2016 $79.11 $0.00 $55.38 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $169.49 Total Fees: $169.49 Total Payments To Date: $169.49 Balance Due: Inspector: FINAL APPROVAL Date· IZ'I11k . ' Clearance: $0.00 NOllCE: Please take NOllCE that approval of your project includes the "Imposition" ci fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this perrrit was issued to protest irJllOSition of these fees/exactions. If you protest them, you must follcm the protest prooeci.Jres set forth in Govemrnent Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance \lAth Carlsbad lllu1idpal Code Section 3.32.030. Failure to timely follcm that procedure \\All bar any subsequent legal action to attack, review, set aside, void, or annul their irfllOSition. You are hereby FURTHER NOll FlED that your right to protest the spedfied fees/exactions DOES NOT APPI.. Y to water and SE!IMlr connection fees and capadty changes, nor planring, zoning, grading or other similar application processing or service fees in connection \lAth this project. NOR DOES IT APPI.. Y to any f · · · · 11 "I r · t i li · · · · · I {"City of Carlsbad JOB ADDRESS CT/PROJECT II Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov II BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) • J. o J Jt,.57lsl reyer6e nalo h.J. Chonn.el lettlr~ tt:> rtad z. o J 4 ti DJF ,·n+trnQJJy·•llu.m•n&l+ed blade ~'!Jn. EXISTING USE PATIOS(SF) APPLICANT NAME ADDRESS DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LIC.II ~'b SWPPP FIRE SPRINKLERS YESDN<C (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair a~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tnat he is licensed pursuant to the provisions ofthe 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 applicantfor 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 peljury one of the following declarations: 0 I have and wm 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 perm~ is issued. ~ 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 pe~ued. My workers' compensa:1 insu'fce carrier and policy number are: Insurance Co. I c v...J Policy No. w SAS oz. e Of Ol Expiration Date I ' J., ~section need not be completed if the perm~ is for one hundred dollars ($100) or less. U 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 lhe 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 for In Section 3706 of the Lsbor code, Interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D I, as owner of the property or my employees wilh wages as lheir 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 lhereon. and who does such work himseW or lhrough his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold w~hin 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wilh contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for lhis reason: 1. I personally plan to provide the major labor and materials for construction of lhe proposed property improvement. []v es Do 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted wilh the following person (firm) to provide the proposed construction (include name address I phone I contraclors' license number): 4. I plan to provide portions of the work, bull 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. bull have contracted (hired) the following persons to provide lhe work indicated {include name I address I phone I type of work): q•J·','d'!'ft'i'I8 JUff•Jfpf•Ji'ff•Jf9iffJ''!1t'f'.;)'=''''''!':'f?d1iJ:',eee•·"'''- lithe 'applic:lnt orft.Ue bliklng ~ raquRd m llblt 1 buliMa _piiJ.IIUIIy hlzlnlaullllllllr1lllllgillnlllan farm or !Ilk m.111g1111111111111 prMnlon pn~g~~~~~llldllr Sections 25505, 25533 or 25534 d the ~TIIIIIII' HIZintoul Sublllnce Aa:aunlldl Yes )<No lithe applic:lnt or fulll8 bliklng ~ raquRd a obllin 1 pamll from llelir palkMon Clllllnll clltrict or air QUilty m.IIIQIIIMIIIl diAicl'l Yes )(No lithe fllcity ID be Cllllllrucllld willin 1,000 filet d the outar bollldlly d 18Choollile? Yes X Nci F MY OF 11tE ANSWERS ARE YES, A FINAL CERTFICATE OF occtltANCY IIAY NOT BE ISSUED uti.ill THE APPUCANT HAIIIET OR IIIIEETING 11tE IIEQUimiEJfTI OF THE OFFICE OF EERGENCY 8EIMCE8 AND 11tE AIR POU.U110II COinROL DISTRICT. CONSTRUCTION LENDING AGENCY I heraby allinn 1hat hll1l is a cmatrudion lendilg agency for the parfomalce of the work this permit is iaJed (Sec. 3097 (i) Civil Code}. Lender's Name tJ }A Lender's Mlrass APPLICANT CERTIFICATION lcerllftllltlr..-'lhlappllalllan..r-llllllhllllllllelnlilllmllaniiCIIIIICl..rlllllhiWIIInlllllnonlhlplftii-.I .... ID~IIIIIIICir...._ ..................... GWillliiiCiaiL I ~ll.llloriz8 IIP ..... rllhl CllyriCirlllb.t brilr~ lhlabcM nmiDrBt ~ilri'lllpldbl ~I ALSO AGREElOSAVE, NlBNFY Nf:J ICEEP HARM.ESS 1l£ CITY OF CARL.SBAD AGAtm' ALL LIABIJTES, J.DGtBnS, COSTSNf:J EXPENSES WHICH MAY NN«WAY ACCRUE AGAINST SAD CITYINCONSEQlENCE <FTHE GRANTJIG<FltE PERMrr. OSHA: kl OSHA penni Is raqLirad ilr IIOMiiDns fNflt 5'0' deep llld dernl8ln orcanetrudian riiiN:UIS CMr31Dias in hailtt EXPRATDt Evaryperml irlrud ll'flhl UllngOIIclallllderlhlpnMrianlrltiiCodalhll IICI*all't lrnillllllnllld blmne rdllldwid llhl builrilgaworkdllrlllldbru:h permllsrawrroraiCid wllin 11Kl days tan lhl dalll r1 u:h permla a work dlarlzld .br IUCh permlls upllldld allbllldDrwd It lilY tna aftar1he work Is CllllliiWIICidilra J8IDd r111Kl_. (Sdln 111.4.4 U1lbm Ullng Coda~ ~APPLICANT'S liGNA lURE DATE /0 • 2 LJ ./ ~ • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. F• (780} 802~. Email buildjng@carlsbadca.gov or IIIII the oonrplldad bm m City of Carlrlbad, IY!Irv Dlvlalan 1835 F8l8day A,..., Clrllbed, Clllamla 92008. N/A COt: (Ciftloe .... CIIIIJ) CONTACI' NAME OCCUPAIIT IIAME IU)I)RES5 BUILDING ADDRESS CI1Y STATE ZIP CI1Y STATE ZIP carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DEUVERY OPI10NS PICKUP: CONTACT (LIIt8d llbcMt) OCCUPANT (UIIed llbcMt) CONTRACTOR (On fll.1) MAIL 10: CONTACT (LIIt8d ebcWe) UIOCIA1ED cat OCCUPANT (LIIt8d llbcMt) CONTRACTOR (On f>1.1) NO CHANCIE IN USE/ NO CONS'I'RUCJION MAIL/ FAX 10 OTHER: CHAN8E OF USE/ NO CONITRUCTION .a! APPIJCANT'IIIIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB164041) BLDG-Commercial 10/27/2016Application Date:Permit Type:Owner:T-C FORUM AT CARLSBAD LLC Subdivision:Sign 10/27/2016Work Class:Issue Date: 1925 Calle Barcelona , 169 Carlsbad, CA Address:04/25/2017Expiration Date:Status: IVR Number: 717979 Closed - Finaled Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/19/2016 12/19/2016 BLDG-38 Signs 006122-2016 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 006123-2016 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes December 19, 2016 Page 1 of 1