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HomeMy WebLinkAbout2310 FARADAY AVE; MULTI-PERMIT FILE; CB133231; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-30-2013 Sign Permit Permit No: CB133231 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2310 FARADAY AV CBAD SIGN Lot#: 0 Status: Applied: Valuation: 2120613000 $3,000.00 Construction Type: 5B Entered By: Reference #: PC#: Project Title: CALIFORNIA VET. SPECIALISTS: NEW ELECTRIC SIGN Applicant: WESTERN SIGN & AWNING OBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARCOS CA 92078 760 736 6070 Building Permit Add'! Building Permit Fee Plan Check Add'! Plan Check Fee Electrical Fee Renewal Fee Add'! Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: CVS INVESTMENTS L LC C/O TIMOTHY CONCANNON 2310 FARADAY AVE CARLSBAD CA 92008 ISSUED 12/30/2013 JMA 12/30/2013 12/30/2013 $58.27 $0.00 $40.79 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 $132.06 Total Fees: $132.06 Total Payments To Date: $132.06 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take N ICE 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 was 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 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations ha reviousl otherwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMAT/APCD ~-«-'5~ ~ CITY OF CARLSBAD JOB ADDRESS 3i0 CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date # OF UNITS # BEDROOMS # BATHROOMS Z!,T BUUZ~NAMV.E • / 'H ~·?.L 't ... c..-n DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~J lhj/;il{r) SWPPP OCC.GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO. AIR CONDITIONING NOD YEsONoD FIRE SPRINKLERS YEsONoO APPLICANT NAME (Secondary Contact) ADDRESS CITY CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP 1.IP I 91 I PHONE FAX .... 11,,-J-8 5'~ EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATELIC.# [16 J 5°7D CLAS~~ c. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statementthat he is licensed pursuantto the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 ofDivision 3 of the Business and Professions Code) 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/araffons: D 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 work~compensatlon sr quired by ti9n 3700 of the Labor Code, for the pe~orma~:,,Yf the work for .~ic this permit is issued. My workers' compensation '}f i,Cefarri5, and policy number are: Insurance Co. M Policy No. {"f/'vt/e-tJ A . 0 Expiration Date I / / q- This section need not be completed if the permit is for one hun red dollars ($100) or less. 0 Certificate of Exemption: I certify thatin the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectto the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as P, lded for In Segtlo 70 of the Labor code, interest and attorney's fees. _2$ CONTRACTORSIGNATURE AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 Contractors 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). 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. 0Yes 0No 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 I 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 I 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): _2$ PROPERTY OWNER SIGNATURE 0AGENT DATE . @0GH:Pt1@t?Q? u'00,00 O&@u'00ro @0@ W0Q3oe&@60©@W'i?O&Q. Q©OQ,©QQ}@ @11l,t1HulO'ii'f$ ®Q)(1t, . " ' 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 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. @0ffi0ti'ffi:(!)@ti'O@ro ll@ID©OOJ© ~©@ID@\"J ... ,<; .. .. . • . . . 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 6)@(i>Q,.O@&rot? @@ID l?O~O@& u'O@ro " .,· 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 OFTHE 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 ff the building or mrk authorized by such permitis not commenced l'.1thin 180 days from the date of such permit or if th~ mrk authorized by such permit is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~JIJ . I ~APPLICANT'S SIGNATURE __ -~-, [/" _ _..~ ,:_~ DATE l?--/?-0 /J r STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY !Commercial Projects only I Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) I CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRpCTION .Ji5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB133231 Date Inspection Item 02/14/2014 38 Signs 02/14/2014 38 Signs 02/14/2014 39 Final Electrical Tuesday, February 18, 2014 Type: SIGN Inspector Act PY PY RI AP AP CALIFORNIA VET. SPECIALISTS: NEW ELECTRIC SIGN Comments HAS 2 PSIGNS W/O CB#S ALSO ON FARADAY-NEED PERMITS Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2009 Sign Permit Permit No: CB090975 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2310 FARADAY AV CBAD SIGN Status: Lot#: 0 Applied: Valuation: 2120613000 $3,000.00 Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: ALL STAR SIGNS INC SUITE B CA VETERINARY SPEC-INSTALL 1 ILLUMINATED WALL SIGN 1845 S CENTER CITY PKWY 92025 746-6555 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: CVS INVESTMENTS LL C C/O TIMOTHY CONCANNON 100 N RANCHO SANTA FE RD #133 SAN MARCOS CA 92069 ISSUED 06/12/2009 LSM 06/12/2009 06/12/2009 $54.11 $0.00 $35.17 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $109.28 Total Fees: $109.28 Total PaymentsTo Date: $109.28 Balance Due: Inspector: ~ FINAL AP/ROVAL Date: /P-. <b ~ Clearance: $0.00 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 was 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 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv heen aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. ~City of Carlsbad -...-,w:-,. ~eq0q7s;-j ~ ~ !JI Plan Check No. ' . ··1 < 1635 Faraday Ave., Carlsbad, CA 92008 ~ Est. Value -~ .1::~f) < 760-602-2717 / 2718 / 2719 i Fax: 760-602-8558 ' ! \ ~ Plan Ck. Deposit -,~ Building Permit Application Date G::,[£d-(Oq JOB ADDRESS SUITE#/SPACE#/UNIT# ---. 2~1Q Far~day Avenue IAPN CT/PROJECT# ILOT# ;rHASE.# . I# OF UNITS I·# :BEDROOMS # BATHROOMS I TENANT BUSINESS NAME . . . . ,. CONSTR. lYPE I occ. GROUP Calif9rni_a Veterinary Speciaa DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Reverse Halo Lit Channel: Letters. -11' Sqft I L.t.9Q....Q..t. .. EXISTING USE I PROPOSED-USE . : rARAGE (SF) PATIOS (SF) · I DECKS (SF) FIREPLACE rlR CONDITIONING rlRESPRINKLERS -' YESO. NOD YES0No0 YEsONoO ----.. CONTACT NAME (If Different Fom Applicant) APPLICANT NAME Afl ,Star'Signs In~~ .. ... ·-·---. . .. ADDRESS ADDRESS -.. ... ., 1914West.M.ission Rd Suite A CITY STATE ZIP CITY STATE ZIP -:Escondi_do OA 92029 ., PHONE IFAX PHONE IFAX 760 746~6555. 760 746-6592 EMAIL EMAIL .. artroom@allstarsignsinc;com PROPERTY OWNER NAME · CVS lnvest01ents,-LL_C CONTRACTOR BUS. NAME Same as· above .. -ADDRESS ADDRESS 2~1Q f'aradav Avenue ... .. CITY STATE ZIP CITY STATE ZIP -· CadS:bad; ·----·-C_a .. .. 8io.oa --.. PHONE .IFAX PHONE rAX ._760·431-2273. 1ao 734.5523 EMAIL EMAIL ·~rdvms@aol.com ARCH/DE~IGNER NAl!IE & ADDRESS . ISTATELIC.j74211 STATELIC.# I CLASS I CITY 1,JUS. UC.# All 'Star Sians Inc. 17'-fol It (Sec 7031 5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tnat he Is licensed pursu~nt to the provisions of t~e Contra9tor'? License i,aw [Chapter 9, comme_nding with Secti!)n 7000 of Divisio~ 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$5001). ', ~®@(~/]@~~ " "" ,,, ''"" "" •, "'' ,,. ,·, '' ,_ '" @®6'.il(P-J'.E!1Jf)~ ti'O® W• ,,,, ". ·.-. >:•.· ,, ·: . .; " ' " . : ' ,, ~-' '. .: . " \_,,' ' '~ ,'' ,, Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declaraffons: D 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. [Z] I have and will maintain wgrkers' cgmgensation, as reQ~ired by Se9tion 3]00 of the ~~bor 9ode, fqr the performance of the work for which this permit is i~sued. My workers' compensation insurance carrier and policy number are: Insurance Co · . )he Hartford · Policy No. We -57WECYG2351 Expiration Date Marc_h2010 This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 {&100,000), in addition to the cost of compensatioW?? in Section 3706 of the Labor code, interest and attorney's fees. ,)z/4~ ~TRACTOR SIGNATURE -DATE . ~WmGIY~ ©ID!J/1®@© @l]@Q,~ffit:u 'i?0@1~J .. ' ., ,', ':::-" ·'· ~ ~ " \\,:· _,:,, " ...... :.:-,_,, , ' ' , ' ' , , ,,,', --'~ ' I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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). D 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. 0Yes 0No 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 I 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): .£5 PROPERTY OWNER SIGNATURE DATE \«?~{;iii@~~#@ tr~~~ ~@@'&o@tit !J®@ ro@~~m§~O@l]eJ'lJrit,\)th. @ii)U~@l}~ @tD~WOu'~ eojo,\i ,_,, .. IS'the applicant or future building occupant required to submit a business~, 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? D Yes ./ No Is the applicant or future building occupant required to obtain a permit from the air pollution contro[Jrict or a0ality management district? 0Yes [ZI 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. -.. "'''>' ,;";•;\" .. · Cs_®QJ~u'©W<!u'!)®l'.i!I. Q.lzfi!l$0W© ~ (~.'ti] !1l@ i1 ''t, . " '• .. -::,, "' ' 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· ----------··----·--· -. ----. -------· ~J1:>mo.o\S~ro~ ll'.l5@u;o@o<s~i'rO®ro. ~-" .. , ·-, . ... '''" : .. ... I certify that! have read the application and statethatthe above information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto 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 OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA peITTlitis required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every peITTlit issued by the Building Official under the provisions of this Oode shall expire by limitation and become null and void if the building or wcrk authorized by such peITTlit 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 commenced for a period of 180 days (Section 106.4.4 UnifoITTl Building Oode} . ..@'.S'APPLICANT'SSIGNATUREA ~ It...---DATE e,)zlo'=) Tl V City of Carlsbad Bldg Inspection Request For: 11/30/2009 Permit# CB090975 Title: CA VETERINARY SPECR INSTALL Description: 1 ILLUMINATED WALL SIGN Type:SIGN Sub Type: Job Address: 2310 FARADAY AV Suite: Lot Location: APPLICANT ALL STAR SIGNS INC Owner: CVS INVESTMENTS L L C Remarks: Total Time: 0 Act Comment Inspector Assignment: Phone: Inspector: __/!___ Requested By: MIKE Entered By: JANEAN CD Description 19 Final Structural Af __________ _ 39 Final Electrical +------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-15-2006 Sign Permit Permit No: CB063282 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2310 FARADAY AV CBAD SIGN Status: Lot#: 0 Applied: Valuation: 2120613000 $1,000.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: ALL STAR SIGNS INC SUITE B CAL. VETERINARY SPECIALISTS, 1 MOLDED LETTER SIGN 1845 S CENTER CITY PKWY 92025 746-6555 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: CVS INVESTMENTS L LC C/O TIMOTHY CONCANNON 100 N RANCHO SANTA FE RD #133 SAN MARCOS CA 92069 ISSUED 11/15/2006 KG 11/15/2006 11/15/2006 $21.33 $0.00 $13.86 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.19 Total Fees: $35.19 Total Payments To Date: $35.19 Balance Due: FINAL Inspector: Date: --1,,:...t...--#,~,J.1---1, Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpo ition' of fee , dedications, reservations, 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 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 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exac ions of which ou have reviousl been iven a NOTICE similar o this or as o which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION ! CITY OF .CARLSBAD BUILDING DEPARTMENT PLAN CHECK No.C.fjlp3292} EST. VAL. 4 00 Q 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Oeposit'",/~¥-------- Validated By~...::...:;,1:-~--=,__.,,,.,,,_:..._ __ Date ___ __, _ _,_,__'--"'__,.....::...:...--- Ad_dress (include Bldg/Suite #) · Business f',lame (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units J. Assessor's Parcel# Existing Use Proposed Use Name Address City· S.tate/Zip Telephone# (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 Cod.el 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 [$500)). · At;L.. 67\o/l S16,.J~ X.AJ'"-· ('lie./ t,J. _M,s..'s,.:,.,.j l't.f). ESt...0...lr:),0-0 CA .«:;iozei 1uu--7'1(p-t.,S"SS- City· State/Zip · Telephone # Name State License# _'1_1_'-/_'?.._/_7 __ _ Address · · License Class __ C_-_&.f_$_-__ City Business License # I 2-2.. I f?Jt:> <, Designer Name State License # Address City State/Zip Telephone fj~]WQEIJ.tJ;.B~J~~l:tP~MRf=N-~J.Qfft::ZZ:C:::ir.z;.J.ik~4S:TxL:::.:z:-::::::r:::::cs;ei~=2!1f,::::::~::::1s:::.:iii~~~~:3:t![:}5TI Workers' Compensation Declaration: I hereby affirm under penalty pf perjury one of the following ~eclarations: . · 0 I heve 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 requir~d,by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 7>J1... fl~ T f-rM. ~ ' Policy No. S "1 Wt C...) C, -Z. l S" I Expiration Date S A-c-J O ] (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR' ONE HUNDRED DOLLARS [$1QOJ OR LESS) 0 CERTIFICATE OF EXEMPTION!.J..cel'tify:thet-in-tl~e pinfuiinai,~e or the work for which this p~rmit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failu pensatlon coverage Iii unlawful, and shall subject an employer to crlmlm1l penalties and civil fines up to one hundred thousand dollars ( cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE~~~~~~~~~~~~m;;;;;;;;,~~~~~~~~~ DATE / / ~ "). 0 V ~~ex,~-; ,E~ e ~~~~~~¥~:P.~~$-Jii.~~ti~~~~~;~~&~~,t~~~~~~~~~~~~~~~it-~j='~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: · 0 I, as owner of the property or my employees with wages ~-their sole compensation, will do the work end 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 fmprovement is sold within one year·of completion, the owner-builder will have the burden of proving that he did ni)t 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 whq builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · 0 I am exempt under Section ______ Business and Pr9(essions c;ode for this reason: 1. I persom1l\y p!an to provide the major !abor and materials for construction of the proposed property improvement. 0 YES ONO 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 number/ contractors license numberi: 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 number/ contractors license number):.__,.....-------""--------------''-------------------------- 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _______________ --,-------,------------------------------------ PROPERTY OWNER SIGNATURE ___________ __,_--,-__________ DATE ___ ..,... _____ _ l§QB~1~.$~Ni-rut,;O~ng§(P_w$.~J".i;mi1«~-~~:t~!P!lli.i'J----~'!.~~~~~ff~~~~~.::=~~~~~ 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 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? . 0 YES O NO Is the· facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 .YE:S O 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. ~%CONSI_RUCJLONiL:~~B~~~=:2:~~:::s:.:_?:'4~~~:=?'':0~!.=·~:-·':=~·<?=?":-'~~;=:~.~--=.~~--:~~:tki?:fsf M::.:s~~:.,.~_::;-::;~.;J:~ ~ r~;_~z ·u ·.::;-. -~ ~-~·~···-~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). ,;LE;;N~D~E;;_;R,.;'S;,;N;;,A;.M~E;,_;;;;· ;;;;;~;.;;;;;;;;;;;:;:;;;;;;;;:;;;;;:;;;;;;;;;;,;:;;;;;;;;;;;;;;;;;;;:;~:,:lE~N::;:D:;,;ER:;'S AD:,D;;,;R;;;E:,;;,SS;:;;;::;;;;;;;;;:;;;;:;;;;;:;:;;;;;:;;;;;;::;;;,;;;;;;;;;;;;:;;;;;;:;;::;;;::;:::;;:;;;;;;;;;:;;;;;;;;;;:;;;;;;;;::;;::;;;;;;;;:;;;:::;;;;:;;;::::;:::::;;:;:::::=::;;::::;;;: fl--~e!;.1~,1\IJk!l§IIlf!~lJQ~~.:ifu~~~~~*~~ffit_?,j:~;~-:;;~~~~~~~:g:~-:€~Z#;~~~~~ ... ~~ii4~ I certify that I have read ttie 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 Cit'I' of Carlsbad to enter upon the above mentioned property for inspection P\JfPOSes. I AL!iO 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 stories in height. EXPl~ATION: Every pe_rmit Issued by the bul!dlng Official under the provisions of this Code shaU expire by limitation and become null and void if the building or work authorized by such penmt is not commenced with 80 days from the date of such permit or if the bullding or work authorized by such permit is suspended or abandoned . at any time after the work is com enced f rio f 180 da s (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE . DATE /(' 7 • () (., WHIT!;: File' YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: ·01/16/2007 Permit# CB063282 Title: CAL. VETERINARY SPECIALISTS, Description: 1 MOLDED LETTER SIGN Type:SIGN · Sub Type: Job Address: 2310 FARADAY AV Suite: Lot 0 Inspector Assignment: --:Jvvv Phone: 7607466555 Location: Inspector: OWNER CVS INVESTMENTS L L C Owner: C V S INVESTMENTS L L C Remarks: Total Time: CD Description 38 Signs f;f,_ Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: MIKE Entered By: CHRISTINE