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HomeMy WebLinkAbout2283 COSMOS CT; ; CB143375; Permit12-02-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB143375 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2283 COSMOS CT CBAD SIGN 2130504300 Lot#: 0 $2,400.00 Construction Type: 5B ICETOWN: NEW WALL SIGN ILLUM Status Applied: Entered By Plan Approved Issued Inspect Area ISSUED 12/02/2014 JMA 12/02/2014 12/02/2014 Applicant: EXPEDITION SIGN INC STE A 231 E ALESSANDRO BLVD RIVERSIDE CA 92508-6039 951-323-8762 Owner: WESTERN STATES TECHNOLOGIES HOLDINGS INC C/O TODD P MILLER 18101 VON KARMAN AVE #330 IRVINE CA 92612 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 $52.45 $0.00 $36.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $89.17 Total Fees: $89.17 Total Payments To Date; $89.17 Balance Due: $0.00 jL FINAL APPROVAL ^ Date: /"/'fy^^ Inspector: 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 v»as 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 wiil 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 simiiar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMmSSUANCE: • PLANNING DENGINEERING •BUILDING DFIRE DHEALTH • HAZMAT/APCD | ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposi sit Date SWPPP JOB ADDRESS SUITE*/SPACE*/UNIT# CT/PROJECT # PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet otM^^^^ea{s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfn* N0| I AIR CONDITIONING YESGNO^ FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWI ADDRE: ADDRESS CITY Ca "mi/ PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CITY.-N-^ 1 i-. /\ I / STklSrt I / ^ Z ADDRESS CITY STATE ZIP PHONE FAX .«;TATF nr.* r I r.i Aq-<; I CITY BUS. LIC.# EMAIL CLASS Tom (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuanci, also requires the applicantfor such permitto file a signed statement that he is lioensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of [Division 3 ofthe Business and Professions Code) ortnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the appHoantto a civil penalty of not nnore than five hundred dollars ($500)). ;:WORK.iBs' comfpEHi'Ario'H • Workers' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe following declaratbns: el 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 perfomiance of the wort( for vihich this pemiit is issued. I have and wili maintain woriters' comBensatlon, asj^uired by£ection 3700 of the Labor Code, forthe perfomianceof the work for which this^permit is issued. My workers' compensation 'muraijbe carrier ani policy ^ "\0^^ Policy No. /Q^^^^'^ f ' Expiration Date S)// I I'S number are: Insurance Co,_ -XJ Policy No. ance of the work for which this,pen Expiration Date _ This section need not be completed if fhe permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the wort( forwhich this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Faiiure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civii fines up to one hundred thousanjl dollars (&100,000), in addition to the cost of compensation, damages a'sp^^n^^fw^^^winJllS^f the Labor code, interest and attomey's fees. ^ CONTRACTOR SIGNATURE • y/^ QAGENT DATE w N E R. a u t:i.,» « o «TI <i) / h&eby affinn that i am exempt from (infractor's License Law for the following reason: I I i, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture 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 compietion, 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 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). • • I am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYOS I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constniction (include name address / phone / contractors' license number): 4.1 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): 5.1 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): jS^PROPERVt OWNER SIGNATURE QAGENT DATE MIM 5 FOR NON-RESIDENTIAL BUiLDING PERMITS ONLY HB 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 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 ARE 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 I hereby affinn 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 APPLI C,^.N,T , C ERT I F IX A TI O I I ceitily that i have read the appiicatkin and state thatthe above infonnation Is conect and that the infomiation on the plans is accurate. I agree to complywith all Cify oidinances and State laws relating to buiiding constniction. i hereby authorize representative ofthe Oily of Carlsbad to enter upon the above mentioned property fbr 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 pemiit is required fbr excavations over SO' deep and demolition or construction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisbns of this Code shall expire by limitation and become null and void if the buiiding or vrork authorized by such pemnit is not commenced within 180 days ftom the date of such pemiit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced fbr a period of 180 days (pection 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(5)Cai1sbadca.qov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed 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 ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB143375 Type: SIGN ICETOWN: NEW WALL SIGN ILLUM Date Inspection Item 06/15/2015 38 Signs 06/15/2015 38 Signs 06/15/2015 39 Final Electrical 06/15/2015 39 Final Electrical Inspector PB PB Act Rl AP Rl AP Comments PM PLEASE PM PLEASE Tuesday, June 16, 2015 Page 1 of 1