HomeMy WebLinkAbout2350 CAMINO VIDA ROBLE; ; CB161313; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-05-2016 Sign Permit Permit No: CB161313
Building Inspection Request Line (760) 602-2725
Job Address:2350 CAMINO VIDA ROBLE CBAD
Permit Type:SIGN Status:ISSUED
Parcel No:2130500900 Lot #:0 Applied:04/05/2016
Valuation:$5,000.00 Construction Type:NEW Entered By:SLE
Reference #:Plan Approved:04/05/2016
PC #:Issued:04/05/2016
Project Title:CHUAO: 13.5 SF WALL MOUNT SIGN Inspect Area:
NON-ILLUMINATED
Applicant:Owner:
FORD SIGNS CARLSBAD DISTRIBUTION CENTER INVESTORS L L C
1605 ORD WAY 2333 STATE ST #200
OCEANSIDE CA 92056 CARLSBAD CA 92008
760 631 1936
Building Permit $70.24
Add'I Building Permit Fee $0.00
Plan Check $49.17
Add'I Plan Check Fee $0.00
Electrical Fee $0.00
Renewal Fee $0.00
Add'I Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $119.41
Total Fees:$119.41 Total Payments To Date:$119.41 Balance Due:$0.00
•FINAL APIPRpVAL
Inspector:/41•(0-e€4.15 Date:ei9/661G 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 was issued to protest irrposition of these fees/exactions.If you protest them, you must
follow the protest procedures set forth in Govemment 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 you have previously been elven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
..,,..
,,,,,,,0 Plan Check No.Building Permit Application
<,;(:,,44...,....._•1635 Faraday Ave., Carlsbad,CA 92008 Est. Value t )i DO
\\:7/'CITY OF 760-602-2717 /2718 /2719
CARLSBAD Fax:760-602-8558
www.carlsbadca.gov
Plan Ck. Deposit
Date LA -
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JOB ADDRESS1,356 cam .in 0 11
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SUITE#/SPACE#/UNIT#APNll 3 -05o -0 q -00
CT/PROJECT #LOT #PHASE #A OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
Chvoto CAncitlabvi.DESCRIPTION OF WORK:Include Square Feet of Affe ted Area(s)
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES 0 #NO 0 YES 0 NO 0 YES 0 NO O
CONTACTaNAME(If DifferentFern Applicant)'''
11401LCirrlt.s APPLICANT NAME R) ar 9 05 hic--S '
ADDRESS •ADDRESS A r P .,A2.3 S 0 C.-e--,\e‘%b.)0 \ \)1 t fib Cc.3\3\—C..4 RO°5 urn NoNCITY.---%STATE ZIP CI
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ARCH/DESIGNER NAME & ADDRESS STATE LIC. #-STATE LIC.#
711 11 riT,ssti 5 CITY BUS. LIC.#L....-
(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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($5001).
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Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declarations:
O 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
maintainMNoteensation,
as required
byfe67137QQ
of LOw Code, ,for the performance of the work for which this permit is issued. My workers' compensation in rang carrier and policy
number are: Insurance C CAPAIeAlgii0-iy6..rtioct Policy No.I oqq(A.4„1 5 Expiration Date 5 i to
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 (&100,000), in
addition to the cost of compensation,s as provided for in Section 3706 of the Labor code, interest and attorney's fees.
At'CONTRACTOR SIGNATUR •DATE
41514.150..-_.-
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I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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).
O 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.0Yes 0 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 I address / phone / type of work):
i
PROPERTY OWNER SIGNATURE DATE
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Is the applicant or future building occupant required to submita 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 0 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 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes 0 No
IFANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET ORIS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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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
Lt •
Icertify that Ihave read the application and state that the above information iscometand that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relatingto building construction.
Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN 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.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tithe building or work authorized by such permit isnot commenced within
180 days from the date of such permit or if the building or won( authorized by such permit is suspended or abandoned at any time after the workis commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
ifSAPPLICANT'S SIGNATURE—C&s DATE qlsio
•
Inspection List
Permit#:CB161313 Type:SIGN CHUAO: 13.5 SF WALL MOUNT SIGN
NON-ILLUMINATED
Date Inspection Item Inspector Act Comments
09/08/2016 38 Signs RI
09/08/2016 38 Signs MC AP
09/08/2016 39 Final Electrical RI
09/08/2016 39 Final Electrical MC Fl NON ILLUMINATED WALL SIGNAGE.
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