HomeMy WebLinkAbout1929 PALOMAR OAKS WAY; ; CB150202; Permit01-22-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CBI50202
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type;
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
1929 PALOMAR OAKS WY CBAD
SIGN
2130910600 Lot#:
$5,000.00 Construction Type:
FAIRFIELD INN- INSTALL (2)
ILLU1V11NATED WALL SIGNS
0
NEW
Status; ISSUED
Applied: 01/22/2015
Entered By:
Plan Approved:
Issued:
Inspect Area:
LSM
01/22/2015
01/22/2015
Applicant:
MATTHEWS SIGNS INC
Owner:
SURYA L P
550 W 6TH AVE
ESCONDIDO CA
858 435 0822
92025
10660 SCRIPPS RANCH BLVD #100
SAN DIEGO CA 92131
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
$70.09
$0.00
$49.06
$0.00
$33.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $152.15
Total Fees: $152.15 Total Payments To Date: $152.15 Balance Due: $0.00
Inspector:
FINAL AP.PR
Date:
\PPRpVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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 tc attack,
review, set aside, void, or annul their imposifion.
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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EDPLANNING nENGINEERING •BUILDING •FIRE •HEALTH •HAZMAT/APCD
Building Permit Application Plan Check No. CJ5 15 0^03
V ^ity ot 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558
email: bulldina(S>carlsbadca.aov Plan Ck. Deposit
w\Mw.carlsbadca.gov Date 11 SWPPP
JOB ADDRESS 1929 Palomar Oaks Way SUITE*/SPACE*/UNrr« APN
213 - 091 - 06 - 00
CT/PR0JECT# LOT# PHASE # # OF UNITS * BEDROOMS # BATHROOMS TENANT BUSINESS NAME
Fairfield Inn & Suites
CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Install (2) sets of illuminated channel letters 180.10of laeh.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# NOQ
AIR CONDITIONING
YESi INOI 1
FIRE SPRINKLERS
YESr~|NO| 1
APPUCANT NAME
Primary Contact Pat Brady/Matthews Signs Inc PROPERTY OWNER NAME Excel Hotel Group
ADDRESS
550 W. 6th Ave ADDRESS
9663 Tierra Grande St Suite 204
CITY
Escondido
STATE
CA
ZIP
92025
CITY
San Diego
STATE CA ZIP 92126
PHONE
(858)435-0121
FAX PHONE
(858)6214908
FAX
EMAIL
pbradyi^matthewssignsinc.com
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Matthews Signs Inc
ADDRESS ADDRESS 550 W. 6th Ave
CITY STATE ZIP CITY Escondido STATE
CA
ZIP
92025
PHONE FAX PHONE
(858)435-0822
FAX
EIVIAIL EMAIL
STATE LIC. # STATE LIC.#
951207
cuss
C-45
crrv BUS. uc.#
1238882
(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 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' Com|»iaatk>n Daclaration: / hereby affirm under penalty af peijury one of ffie following declarations:
I have and wM maintain a certificate of consent to self-insure for woriters' compensation as provided by Section 3700 of the Labor Carle, tat the perfonnance of the woric for which this pernnit is issued.
01 11 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the wori< for which this pemiit is issued. My woricers' compensation insurance canier and polic;
number are: Insurance Co._ Security National . Policy No.. SWC1047347 Expiration Date _ mm
Bsection need not be completed if the pemiit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the perfonnance of the worit for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of
Califomia. WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall subject an emptoyer to criminal penalties and civil fines up to one hundred thousand doilar* (&100,000), In
addition to the cost of compensation, damjoes as provided for In Section 370S of the Labor code, interest and attomey's lees. ^ / /
^CONTRACTORSIGNATURE t^V^^/^/^t^g^ EAGEWT DATE ^^f^//^
OWNER-BUILDER DECLARATION
/ hereby affinn that I am exempt from Contractor's Ucense Law for ihe following reason:
I I I, as owner of the property or my empbyees with wages as their sole compensation, will do the worit and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Ck>ntractor's
Llcensalas^oes not apply to an owner of property who builds or improves thereon, and who does such worit 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 buHd 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 (Me: The Contractors License Law does not apply to an owner of
pioperty who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constnjction of the proposed property improvement ^] Yes I ha
2.1 (have / have not) signed an application for a building pemiit for the proposed worit.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name addtess / phone / contractors' license number):
4.1 plan to provide portions of the worit, but I have hired the following petson to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number):
5.1 will provide some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit):
>erPROPERTY 0\NNER SIGNATURE •AGENT OATE
COMPLETE THIS SECTiON FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future bulkfing occupant re<)uired to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Secthms 25505,25533 or 25534 of Ihe
Piesley-Tanner ffazardous Substance Account Act? Yes No
Is Ihe applicant or future buikjing occupant required to obtain a pennit from the air pollutkincontrdt^strict or Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS Al^ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work this penult Is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certiiy that I have lead the applksrtfcm and state that the above Inforniatkm is collect and that the
I heietiy aulhoike representative of Ihe Cily d Carlsbad to enter upon Ihe above ment^
AGAWST Aa LIABLfTIES, JUDGMENTS, COSTS AND D(PENSES WHICH MAY N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PEfm.
OSHA An OSHA peiTnit is required for excavatnns over S'O'deep and demoilkin or conslnjctk^
EXPIRATON: Every peint issued by Ihe Building Oflicial under the ptovisnns of tiis Code shal ex^
180 days fiun the date of such permit w if the building or vvorit authorized by such pennit is suspended or abandoned at any t^
^APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy wili be requested at final inspection.
Fax (760) 602-8560, Email buildina(5)carlsbadca.aov or Mail the completed fonn to City of Carisbad, Buikling Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CrTY STATE ZIP cmr STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS. UC. No.
DELIVERY OPnONS
PICKUP: CONTACT (Usted above) OCCUPANT (Usted above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Usted above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
4Ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB150202
Date Inspection Item
03/20/2015 38 Signs
03/20/2015 38 Signs
03/20/2015 39 Final Electrical
Type: SIGN
Inspector
MC
MC
Act
Rl
AP
Fl
FAIRFIELD INN- INSTALL (2)
ILLUMINATED WALL SIGNS
Comments
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Friday, March 20, 2015 Page 1 of 1