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