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Home My WebLink About2173 SALK AVE; ; CB112667; Permit12-20-2011 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Sign Permit Permit No: CBl 12667 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: Applicant: ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 2173 SALK AV CBAD SIGN 2120210700 Lot#: $10,000.00 Construction Type: VENTANA REAL-INSTALL 2 0 NEW ILLUMINATED MONUMENT SIGNS-TO INCLUDE 2175 SALK Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/20/2011 KG 12/20/2011 12/20/2011 Owner: RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBADCA 92008 Building Pennit Add'l Building Permit Fee Plan Check Add'l Plan Ctieck Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $126.87 $0.00 $88.81 $0.00 $0.00 $0.00 $0.00 $30.00 $0.00 TOTAL PERMIT FEES $245.68 Total Fees: $245.68 Total Payments To Date: $245.68 Balance Due: $0.00 Inspector: Date: Clearance: NOTICE: Please take NOTICE tlrat approval ol your project includes the "Imposition" ol fees, dedications, resenrations, 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 Seclion 66020(a), and file the protest and any other required inlormation 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 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 senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitaiions has Dreviouslv othenwise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Checl< Est.Value (Q OQO Plan C\n. Deposit Date SWPP JOB ADDRESS CT/PR0JECr# 1 LOT « SUITE#/SPACE#/UNIT# PHASE* #OF UNns # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nclude Sguare Feet of Affected Awars; EXISTINO USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD APPLII ADDRESS PU^tNT NAME (Primary^ APPUCANTNAME (Sacontfa/y Contact) ADDRESS CITY PHONfTI STATE ^ZIP CITY STATE ZIP PHONE wmr FAX PROPERiy OWNER NAME AJ AG- CONTRAI BUS. NAME ADDRlSS 'l\ CITY <~s. STATE ADDRESS , , • CITY ; f A S STATE ZIP FAX PHONE ft STATE ZIP FAX EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS 45 I7g^5-2r (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 siaied statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or tnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a p civil penalty of not more than five riundred dollars ($500)). WORKERS' COMPENSATiON I permit subjects the applicant to a Workers' Compensation Declaration: / hereby afBrm uniler penslty ct peijury one ol Oie tollowing declarations: 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 pennit is issued. S-tlfiveand will maintain workers'^compsnsation, asrequired by Seetlon 3700 of the Labor Code, for the performance of the work for whteh this permit is issued. My workers' compensationinsurance carrier and policy number are: Insurance Co. 'T^'g I > \AS^ Policy No. [T V\ <^ Q Expiratton Date .J A?/ f This section need not be completed Ifthe permit is for one hundred dollars ($100) or less. G Certificate of Exemption: I cettify that in the perfomnance of the work for which this pemiit is issued, I shail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hur^lred thousand dollars (&100,000), In addition to the cost of compensation, damagss as providsd tar In Section 37116 of the Labor code. Interest and attomey's fees. , / ><Er CONTRACTOR SIGNATURE \LA>-^ I IVvtJU-/^ Aflkvit DATE / 2^ t ^ totnewi undred ff OWNER-BUILOiel' OECkARATION / heretry affinn that I am exempt from Contractor's Ucense Law for the follomng reason: • I, as owner of the property or my employees with wages as their sole compensatkin, 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 appiy to an owner of property who buiids or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for sale. If, however, the buitoing or improvement is soto within one year of completion, the owner-builder will have the burden of proving that he dto not build or improve for the purpose of saie). • I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of property who buitos or improves thereon, and contracts for such projects with contractQr(s) licensed pursuant to the Contractor's Ltoense Law). • I am exempt under Sectton Business and Professtons Code for this reason: 1.1 personally plan to provide the major labor and materiais for construction of the proposed property improvement. • Yes • No 2.1 (have / have not) signed an application for a buitoing permit for the proposed work. 3.1 have contracted with the following person (fimij to provide the proposed construction (include name address / phone / contractors' Itoense number): 4.1 plan to provtoe portions of the work, but I have hired the following person to coonjinate, supeniise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provtoe some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): >erPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE TMIS SECTiON FOR N O N - R E S I D E N T I A t BUILDING PERMITS ONLY Is the applicant or future buiiding 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 Presiey-Tanner Hazanlous Substance Account Act? DYes ONo Is the applicant or future building oaupant required to obtain a pemiit from the air pollution control district or air quality management distrtot? • Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. COMSTRUCTION LENOINiS AGENCY I hereby affinn that there is a constnjction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the applk»tfcin and state thatthe above infonnatton Is conect and thatthe Infoimatkm on the plans Is accurate. I agree to complywith all CKy oidlnances and State laws relating to building constmction. I hereby aulhorize representative of Ihe City of Cartsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolitton or constructfon of stnjctures over 3 stories in heighL EXPIRATION: Every permit issued by the Building Oflicial under Ihe provistons of this Code shall expire by limitatton and become nul and voto if the building or work authorized by such permit Is not commenoed wilhin 180 days from the date of such pemiit or if the buitoing or woik authorized by such pemnit is suspended or abandoned at any time after the vrork is oommenoed for a period of 180 days (Section 106.4.4 Unifomi Buikling Code). >€S'APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/23/2012 Inspector Assignment: PY Phone: Permit* CB112667 Title: VENTANA REAL-INSTALL 2 Description: ILLUMINATED MONUMENT SIGNS-TO INCLUDE 2175 SALK Type: SIGN Sub Type: Job Address: 2173 SALK AV Suite: Lot: 0 Location; inspector: APPLICANT ULTRASIGNS Owner: VENTANA REAL LLC Remarks: CAN YOU FINAL? Tl IS FINAL Total Time: Requested By: NA Entered By: JANEAN CD Description 38 Signs Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# CV090807 CLOSED Z- LARGE BANNER / OUTSIDE BLDG; CVI 00134 UNFOUND 0-NO BUSINESS LICENSE; CV110228 CLOSED 0-BUSINESS LICESNE; B.L. # 1230017 CV110631 CLOSED O-BUS LIC; CV110785 CLOSED O-NO BUS LIC; cvi 10786 CLOSED O-NO BUS LIC; cvi 20224 CLOSED O-NOBUSLIC; PCR07029 ISSUED VENTANA REAL- DEFERRED CURTAIN; WALL SUBMITTAL PCR09062 ISSUED VENTANA REAL: NEW ELECTRICAL; CONTRACTOR/ NO CHANGE TO SCOPE OF W( Inspection Historv Date Description Act Insp 01/17/2012 11 Ftg/Foundation/Piers AP PY Comnnents