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HomeMy WebLinkAbout2380 CAMINO VIDA ROBLE; ; CB020561; Permit08-27-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB020561 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2380 CAMINO VIDA ROBLE CBAD SIGN Lot #: 0 $2,000.00 Construction Type: NEW TRANS COMMERCIAL SERVICE NON ILUM WALL MOUNTED SIGN Status: ISSUED Applied: 02/25/2002 Entered By: JM Plan Approved: 02/25/2002 Issued: 02/25/2002 Inspect Area: PS Applicant: ULTRANEON SIGN CO. 5474 COMPLEX ST SAN DIEGO, CA 92123 619-569-6716 Owner: 48IB 38/27/02 Total Fees:$122.91 Total Payments To Date:$62.91 Balance Due:$60.00 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 TOTAL PERMIT FEES $38.13 $0.00 $24.78 $0.00 $0.00 $0.00 $0.00 $60.00 $0.00 $122.91 Inspector Clearance: NOTICE: Please lake NOtlCE/|rf^rpprovat of your project includes the "Impositic/' of fees, dedications, reservations, or other exactions herealter collectively referred to as "fees/exactions." Ke/u 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 (or 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 simitar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions ot which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY.OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL PLAN CHECK NO. EST. VAL. _ Plan Ck. De Validated By Date 'w^rpi/ Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work S u *~ m 'u«ij* * £-&" SQ. FT.tfot Stories # of Bedrooms # of Bathrooms (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 Cadel 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]). Name si SI <P 0 Address * State License # "1 ^\ ^ % & * License Class C- +4" Designer Name Address State License # ^^ . City State/Zip TaJspJiortB # -*- Citv Business License # [//-/ T^J) (, <3 City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. f3k I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ^-f/"% / '•j- K-> Policy No.^-*4-^J l£"L&^_ Expiration Date 'c£ —/ *~ & ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q 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 la unlawful, and shall subject an employer to criminal penaJtiaa and civil fines up to one hundred thousand dollars (*wO,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ./G/— /7\ -s%**~~~f( ' DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 sate. 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). Q 1, 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). Q 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. Q YES QNO 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 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 / eddress / phone number / 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 number / type of work): PROPERTY OWNER SIGNATURE DATE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 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). LENDER'S NAME LENDER'S ADDRESS I cett»fv that I have read the application and state that the above information is correct and that the information on the plans Is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad 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 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 if the building or work authorized by such permit is not commenced within 1 80 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 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance li jyj F City of Carlsbad Bldg Inspection Request For: 09/05/2002 Permit# CB020561 Title: TRANS COMMERCIAL SERVICE Description: NON ILUM WALL MOUNTED SIGN Inspector Assignment: PS Type: SIGN Sub Type: Job Address: 2380 CAMINO VIDA ROBLE Suite: Lot 0 Location: APPLICANT ULTRANEON SIGN CO. Owner: Remarks: REINSPECTION FEE PAID Phone: Inspector: Total Time: CD Description 38 Signs Requested By: JAKE Entered By: CHRISTINE Comments Associated PCRs/CVs Inspection History Date Description 08/21/2002 39 Final Electrical 08/02/2002 38 Signs 07/24/2002 38 Signs Act Insp Comments NS PS REINSP FEE NOT PAID YET NR RB NO PLANS OR PERMIT AGAIN - PAY REINSP FEE CO RB NO PLANS OR PERMIT ON SITE City of Carlsbad Bldg Inspection Request For: 08/02/2002 Permit# CB020561 Title: TRANS COMMERCIAL SERVICE Description: NON ILUM WALL MOUNTED SIGN Inspector Assignment: PS Type: SIGN Sub Type: Job Address: 2380 CAMINO VIDA ROBLE Suite: Lot 0 Location: APPLICANT ULTRANEON SIGN CO. Owner: : Remarks: Phone: 8589670638 Inspector: Total Time: CJD Description 38 Signs Act Comments Requested By: JAKE Entered By: CHRISTINE Associated PCRs/CVs Inspection History DJate Description Act Insp Comments 07/24/2002 38 Signs CO RB NO PLANS OR PERMIT ON SITE CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE 0 TIME LOCATION PERMIT NO. f ' 3 <y ^ - FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? l_ J YES FOR FURTHER INFORMATION, CONTACT . PHONE OS:AZP P.O1 ACORDm CERTIFICATE OF LIABILITY INSURANCE •w**« (619)295-5155 ?& (619)291-0912 CASCADE GENERAL INS, AGENCY C/0 HARTLEY, SCOTT A KNIERIM, INS. AGENCY *05742S3 P. 0. Box 4068 San Diego, CA 92164-4068 INSURED ULTRAS tCNS, INC. 545S COMPLEX DRIVE, SUITE 401 SAN DIEGO, CA 92123 OATC (Muooftrvj 09/19/2001 THIS CEHTIMCA Ife IS U&UEIJ AS A HWTTEK Ol- KHJHHATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSWEHA: ZENITH INSURANCE COMPANY/CASCADE tt*SUTOl»: INSURER C: INSURtR 0: INSURER C: "Tl Al M P MSPF LTR A HE POUCfES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME6 A86v6 P OR THE POLlCV KRlOD INDICAT &. NOTWlf HSf ANDiNG NY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TVPE Or INSURANCE GCNCRAL LIABILITY COMMERCIAL GENERAL LIABILITY ~~) CLAIMS MADE f 1 OCCUR GENl AGGREGATE LMIT APPLIES PER:~~iwuc*nsR n«w AUrOMOBILC UAWLITY ANVAUTQ AIL OWNED AUTOS SCHEDULED AUTOS WHED AUTOS NON-OVWEQ AUTOS GARAGE LIABILITY AMVAUTO excess LIABILITY ~] OCCUR [ ] CLAIMS MADE OCDUCTWJ: KCTENTION S WOIVU9O COMPENSATION AND EMPLOYERS' LIABILITY OTHCT POUCV NUMBER Z4S3 15104 KUUI.I erPttL IIVCOATE IMMJDD/rV) 05/01/2001 rwui<i UAniwyiynPATE (MM/DD/VY) 05/01/2002 LIWTS EACH UCCURRCNCE FIRC OAMAtlC (Any one lire) MED EXP (Any on* person) PERSONAL & ADV INJURY GENERAL AGOfttOTE PRODUCTS • COMP/OP ACC COMBINfcD SINGLE LIMIT (Ca«dAml) BODILY WJURY(Per person) bODILV INJURY(Per aoddnii) PRO^tRrV DAMAGE (rer aceiileni> AU 1 0 ONLY - EA ACCIDKNT OTHER THAN g*L*cc AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE X I vvk« si i A i u- i i w P n-JTONVLMITSl | ER E.L. EACH ACC1OFNT EL DlSbASE • EA CMPLDYff E.L. DISFASE • POLlCV UMIT 1 1 I $ *1 i s s 1 s s s s s s s s s 1,000, OOC s 1.000,000 i 1,000, OOC DESCRIPTION OP OfER*TIONSn.OCAlTONBWEHICLES/eXCLUSK>NS AOOEO BY ENDORSEMENT/SPECIAL PROVISIONS -ICENSE * 799S&1 LO DAY NOTICE APPLIES FOR NON PAYMENT OF PREMIUM CANCELLATION ceftTlttCATEUOLCEft |ADDITIONAL INSURED; INSURE)* IETT8R: CANCELLATION Contractors State License Board ATTN: WORKERS COMP UNIT P.O. BOX 26000 SACRAMENTO, CA 95826 SHOULD ANT OF THE ABOVE DCSCIUBCO POUO6S BE CANCELLED BEFO« THE CXPIRATTON DATE THEREOF, THC ISSUMO COMPANY WILL ENDEAVOR TO MAIL JO DAYS WRITTEN NOTKE TO THE CKftTIPlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTC6 SHALL IMPOSE HO OBLIGATION Qfl UABIUTY OF ANY «HO UPON THE COMPANY. ITS AGENT* OR REPRESENTATIVES, AjjT^owiepBBweseNTATiyek . - _ * ^ _VTW& (y&flfni/ft? ACUKU3!i-5 (?/»/| FAX. (916)253-2199 "Ot»COKD CORPORATION 1W8