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HomeMy WebLinkAbout1935 CALLE BARCELONA; 170; CB032843; Permit10-1 5-2003 ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Sign Permit Permit No: CB032843 Job Address: Permit Type: SIGN Status: ISSUED Parcel No: Lot#: 0 Applied: 1011 5/2003 Valuation: $4,000.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 1 0/15/2003 Issued: 1011 5/2003 Project Title: PANERA BREAD-2 ILLUM SIGNS 81 Inspect Area: 1935 CALLE BARCELONA CBAD St: 170 3 AWNINGS Applicant: STANFORD SIGNS INC 2556 FAIVRE ST. CHULA VISTA, CA 9191 1 61 9-423-6200 Owner: 02 108 26 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 $53.49 $0.00 $34.77 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $108.26 Total Fees: $1 08.26 Total Payments To Date: $0.00 Balance Due: $1 08.26 RQVAL IN PERMIT APPLICATION CITY. OF GARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK N0.D 22 73 EST. VAL. %%' (3 Plan Ck. Deposit Validated By Date I Y LCE AA AC eL5AJA- FSF-6 / 70 &&&, B 3i1ibfGRA- 8h.2 &AL, ddress (include BldglSuite #) Ir L!70 Business Name (at this address) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories I of Bedrooms # of Bathrooms - (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 Code1 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 185001). Name ' Address City State jkense # &?O 6 /7 Designer Name Address City Statelzip wLG5 rei? Id SIO/t' 5 /573NF- a2,05/~~l15 2.3% FALM~, CWLU 1//S/k? 9@// 6@-$434zm Statelzip -1 License Class /-.rs' City Business License # Telephone / \ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 of the work for which this permit is issued. @- I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 5~~9 7% FUdD Policy NO. L/~~LX~OOO&- Expiration Date 4-0 1 -d 4 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 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 es to become subject to the Workers' Compensation Laws of California. WARNING: Fallura to secure workers' compensation coverage Is unlawful. end shall subject an amployer to criminal penalties and civil fhes up to one hundred fthoussnd dollars f810~000). in addition to thq cost of compansation. damages as provided for In Section 3706 of tha Labor code, Interest and ettomey's fees. 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 fSec. 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 contractorfs) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. YES ON0 I (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 / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): 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 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 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO LENDERS 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 City 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 CONSEOUENCE 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 commencec#for a penod of 180 days (Section 106.4.4 Uniform Building Code). 1/ APPLICANT'S SIGNATURE & &a,% /dd-v& DATE /a 45 -&$ f WHITE:& YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 1/24/2003 n- Permit# CB032843 Title: PANERA BREAD-2 ILLUM SIGNS & Description: 3 AWNINGS Type: SIGN Sub Type: Job Address: 1935 CALLE BARCELONA Suite: 170 Lot 0 Locat ion : APPLICANT STANFORD SIGNS INC Owner: Remarks: Inspector Assignment: ’f> Phone: 7607366070 Inspector: 2s Total Time: Requested By: RICHEY Entered By: CHRISTINE CD Description 38 Signs Associated PCRsKVs Date Inspection History Description Act lnsp Comments 3’ T?