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HomeMy WebLinkAbout2020 CASSIA RD; 102; CB080583; Permit04-01-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB080583 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant FORD SIGNS STEE 1304N MELROSE VISTA CA 92073 760-631-1976 2020 CASSIA RD CBAD St 102 SIGN 2150210200 Lot# 0 $1,700 00 Construction Type NEW HULSE ORTHODONTICS ONE ILLUMINATED WALL SIGN Status ISSUED Applied 04/01/2008 MDP 04/01/2008 04/01/2008 Entered By Plan Approved issued Inspect Area Owner AMHERST PROPERTIES INC 2710LOKERAVE W#100 CARLSBAD CA 92010 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electncal Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $3606 $000 $2344 $000 $000 $000 $000 $2000 $000 TOTAL PERMIT FEES $7950 Total Fees $79 50 Total Payments To Date $79 50 Balance Due $000 Inspector FINAL Date _Clearance NOTICE Please lake NOTICE that approval of your project includes the 'Imposition" of fees dedications, reservations n 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 fee1?'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 ba'1 any subsequent legal action to attack review, set aside, void, or annul their imposition 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations lias previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value / "7C2 Plan Ck. Deposit Date I JOB ADDRESS 2Q§iO_Ca^ t cU^ckCT/PROJECT* ^^ '(TOT* " SUITE#/SPACE#/UNIT# DESCRIPTION OF WORK # OF UNITS |# BEDROOMS 10-5- # BATH ROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUI EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Pom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL RTY OWNER NAM AQDRESS <2W\s>^ COJURACTOR BUS NAME ADDRESS STATE LS-U ZIP PHONE m I-ZOL FAX PHONE ZIP FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #C1>SS CITY BUS LIC# (Sec 70315 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 Contractors 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty o! perjury one of the following declarations n 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 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 issued My workers compensationjnsujance ^number are Insurance CoLl-t CHIT t CA-Q I red by Section 37 ) OJC •Polo No Expiration Date andpolicy - This section need not be completed if the permit is for one hundred dollars ($100) or less O 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 the 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 (8.100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees ^CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractor s License Law for the following reason Cl 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 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) D 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 contractor(s) licensed pursuant to the Contractor s License Law) O I am exempt under Section _... .Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes O No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number) 4 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 / contractors' license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^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 arid prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' CJ Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' O Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site9 D Yes O No IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work 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 representative of the City of Cartsbad 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 stones 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 wonk authorized by such permit is not commenced within 180 days from the date of such perniitorjttte building or wort; authorized by such permit is suspended or abandoned at any time after the woifc is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) .^APPLICANT'S SIGNAjfjRE *^- \_ / _ • DATE City of Carlsbad Bldg Inspection Request For 05/14/2008 Permit* CB080583 Title HULSE ORTHODONTICS Description ONE ILLUMINATED WALL SIGN Inspector Assignment 2020 CASSIA RD 102 Lot Type SIGN Subtype Job Address Suite Location APPLICANT FORD SIGNS Owner AMHERST PROPERTIES INC Remarks Phone 7606311936 Inspector Total Time CD Description 38 Signs 39 Final Electrical Act Comment Comments/Notices/Holds Requested By CRUZ Entered By JANEAN Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ?£r—CERTIFICATE OF LIABILITY INSURANCE OP ID ME FORDS-1 DATE (MM/DD/YYYY) 05/10/07 ice"/*v5of'*., tfanouel Ins. & Fin Svcs Inc ^a'f Manouel Insurance Group jOS N First Street Ipfesno CA 93720-2823 l-Jhone 559-447-4600 I INSURED Ford Signs, Inc 1310-A N Melrose Drive Vista CA 92083 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW j INSURERS AFFORDING COVERAGE NAIC# j INSURER A Golden Eagle Insurance Corp j INSURER B Clarendon National Insurance : INSURER C INSURER 0 INSURER E COVERAGES THE K1LICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME AN i- ^LQUIREML NT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT M/-.Y PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN5RADDL LTR INSRD TYPE OF INSURANCE ; GENERAL LIABILITY A X ; X COMMERCIAL GENERAL LIABILITY 1 , ! i CLAIMS MADE ! X i OCCUR j ;i i 'XjMobile Equipment ; GEN L AGGREGATE LIMIT APPLIES PER i : POLICY -X i JETT i i LOG ! AUTOMOBILE LIABILITY t , A ! X ' ANY AUTO | ALL OWNED AUTOS A ' X ! SCHEDULED AUTOS A X ' HIRED AUTOS 1 NON OWNED AUTOS , . ; GARAGE LIABILITY i i ANY AUTO POLICY NUMBER CBP8023964 CBP8023964 CBP8023964 CBP8023964 '•• i EXCESS/UMBRELLA LIABILITY j OCCUR ! CLAIMS MADE ' i DLDUCTIBLt I ' RETENTION 5 ^. "~~~~"~====="--^-___ : WORKERS COMPENSATION AND S EMPLOYERS LIABILITY / , ANi-PPOPRIETOR/PARTNCR/EXECUTIV/ OF FICcR.-l 1E( IBilR EXCLUDED ' X. •• St tClAL PROVISIONS bclcm OTHER A ' Installation Float A ! Equipment Floate ^ 02KR0030977 CBP8023964 CBP8023964 D ABOVE FOR THE POLICY PERIOD INDICAT ECT TO ALL THE TERMS EXCLUSIONS AND ( POLICY EFFECTIVE [POLICY EX'PIRATlW DATE (MM/DD/YY) 1 DATE (MM/DD/YY) 05/09/07 05/09/07 05/09/07 05/09/07 ' 05/09/07 05/09/07 05/09/07 05/09/08 05/09/08 05/09/08 05/09/08 05/09/08 05/09/08 05/09/08 ED NOTWITHSTANDING ;ONDITIONS OF SUCH LIMITS EACH OCCURRENCE S "DAWAT3ETO RENTED PREMISES (Ea occurence) S MED EXP (Any one person) $ PERSONAL & ADV INJURY % GENERAL AGGREGATE $ PRODUCTS COMP/OPAGG ; S COMBINED SINGLE LIMIT - (Eii accident) JLOOOOOO 100000 5000 1000000 2000000 2000000 1000000 BODILY INJURY s (Per person) BODILY INJURY j . (Per accident) » PROPERTY DAMAGE , (Per accident) AUTO ONLY EA ACCIDENT j $ OTHFR THAN EA ACC .; $_ AUTO ONLY AGGjs EACH OCCURRENCE S AGGREGATE i $ S v , WCSTATU i :OtH i X ! TORY LIMITS i '• ER • E L EACH ACCIDENT j S E L DISEASE EA EMPLOYEE' S E L DISEASE POLICY LIMIT $ Ded $1000 Ded $500 ----- - -- 1000000 1000000 1000000 $20000 $96692 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS **10 day notice of cancellation will be issued for non-payment of premium ** Winners Circle Resort Management, Inc , Carlsbad, Inn LTD is named as additional insured per attached form GECG 602(09/04) with respects to the general liability CERTIFICATE HOLDER CANCELLATION WINNI10 WINNERS CIRCLE RESORT MANAGEMENT , INC CARLSBAD INN, LTD 3075 CARLSBAD BLVD CARLSBAD CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AIITHnRjTFJlJlFPgCSPffr^TIVF ^ — "J ^^ ^^^ _ . ACORD 25 (2001/08)©ACORD CORPORATION 198S N CO RPORATED 1605 Ord Way Oceanside, CA 92056 760-631-1936 / Fax 760-631-4987 I, Colin Ford authorize, Cruz Ramirez, an employee of Ford Signs, Inc to pull permits under my Contractor License #717137 C-45 at any city Colin Ford President . --•>\J I OJ>PISon zt>tnr f m, I; m