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Home My WebLink About2382 CAMINO VIDA ROBLE; ; CB020562; Permit02-25-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No:CB020562 Building Inspection Request Line (760) 602-2725 Job Address; Perm it Type: Parcel No; Valuation: Reference #: Project Title: 2382 CAMIIMO VIDA ROBLE CBAD SIGN Lot #: 0 $2,000.00 Construction Type: NEW TRANS COMMERCIAL SERVICE NON ILUM WALL MOUNTED SIGNS (13) Status: ISSUED Applied: 02/25/2002 Entered By: JM Plan Approved: 02/25/2002 Issued: 02/25/2002 Inspect Area: Applicant: ULTRANEON SIGN CO. 5474 COMPLEX ST SAN DIEGO, CA 92123 619-569-6716 Owner: 1682 02/25/02 0002 01 02 CGP 62-91 Total Fees:$62.91 Total Payments To Date:$0.00 Balance Due: $62.91 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 $0.00 $0.00 $62.91XPIRED PER:, JIAS EXPIRED W ACCORDANCE V.7.VJ.B.C. -1105,4.4 Inspect FINAL ABPRVAL Date Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impos/on* of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 theiv 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 capactiy 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 previously been qiven 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 O PLAN CHECK NO. EST. VAL, Plan Ck. Deposit Validated Bv ^ Date / 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 HUse Description of Work SQ.FT.* of Stories * of Bedrooms of Bathrooms (Sec. 7031.6 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 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)). c ia gr ft^k* A q-6i >' Name ^ _ — — " Address • State License # "/ ^| " 5 O / License Class C— • '-T Designer Neme Adtiress State License # _^, . City State/Zip 7'4plV'lftJl^r^7 / S- Citv Business License * L/^f_S^ 7 /-r City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. SJx 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 ^2r-^ r\ ( '•j- K-^ Policy No.2-«^*sT^ /-£"V &2~ Expiration Pate '& —^l^-t>^S (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 tor 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 shaN subject an employer to criminal penalties and dvN finaa up to one hundred thousand dollars (MQO.OOO). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda. Interest and attorney's fees. SIGNATURE s/5~~ /5~l *€*^-P ^ DATE I hereby affirm that I am exempt from the 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). Q 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. 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 / address / phone number Icontractors license numberl:_ _J 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 25S05, 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 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. 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 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 representatives of the City of Cariabad to enter upon the above mentioned property for inspection purposes. 1 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 180 days from the date of such permit or if the building or wo* authorized by such permit is suspended or abandoned at any time after the work Is commejfced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW; Applicant PINK; Finance 9HBS3 City of Carlsbad Bldg Inspection Request For: 09/05/2002 Permit# CB020562 Title: TRANS COMMERCIAL SERVICE Description: NON ILUM WALL MOUNTED SIGNS (13) Inspector Assignment: PS Type: SIGN Sub Type: Job Address: 2382 CAMINO VIDA ROBLE Suite: Lot 0 Location: APPLICANT ULTRANEON SIGN CO. Owner: Remarks: REINSP FEE NOT REQTD ON BOTH PERMITS Phone: Inspector: Total Time:Requested By: JAKE Entered By: CHRISTINE CD Description 38 Signs mments Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/28/2002 38Signs NS PS REINSP FEE NOT PAID 07/24/2002 38Signs CO RB NO PLANS OR PERMIT ON SITE Feb-14-OZ 05:42P P.O1 ACORl CERTIFICATE OP LlABlLlTV iNSUftANCfc *RODUCW -619)295-5155 FAX (619)291-0912 CASCADE GENERAL INS. AGENCY C/0 HARTLEY. SCOTT & KNIERIH INS. AGENCY #0574253 P. 0. Box 40€« San Diego, CA 92164-4068 INSURED ULTRASXGNS, INC. 5453 COMPLEX DRIVE, SUITE 401 SAN DIEGO. CA 92123 smnaiKiA^L •" •"• .•••••i. .— , •„ - , DATe{M*DO/Vy| 09/19/2001 IHIS UfeHFIHCAre IS ISSUED AS A HOTTER OPW UHHAflUN 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 wsuftgHA: ZENITH INSURANCE COMPANY/CASCADE INSURERS: INSURER C- INSURtRD: INSURER S: "Tl Al M R •ffiflLTR A 4£ WUctES 6P l^SUftAWce ustfeb bELdW HAVE B^m^UEft ^o TflTiMSUftB) NAM§6'*RWe F6R i>^?6LCV P£R«D iMHCATEtf NbTwfR5TOiBiH& " UV REOmREMENT, TERM Oft CONDITION QF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR AY PER7AJN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AIL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH XICIES. AGGREGATE LNVNTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TVpfOFINSUMANCI «««*!. LIABILITY COMMERCUl OENEfWL LIAHLITY ~~) CLAIMS MADE [ j OCCUH GEW. AGCMEGATC UUfT APPLIES PER:nwucvrnj^ n«w AtrroMoMLt UAatuiTY -.,. ANY AUTO AIL OWNED AUTOS 3CHEDULCD AUTOS HMfliO AUTOS NON^NNED AUTOS OARAGI UABIUTV — ANVAl/TO excess UAttuTY ] OCCUR [ ] CLAIMS MADE DGDUCTOLK HtTEHTOM I WOKKER3 COMPENSATION AND EMTLOirEfa'UABILnY 6fHEM POLJCV NUMBER 245315104 'Rreiffiffi&Wr 05/01/2001 "^'<U£W 05/01/2002 LIMITS EACH UCCURRCHCE FIRC DAMAGE (Any on« «t\ USD fiXP (Any ofw ptrson) PERSONAL t ADV INJURY GCNERJU. AGGHbGATE PRODUCTS • COMftOP AOG GOMSWtD 3WQLC LIMIT(EtKCfdml} &OCNLY INJURY(PwptrtOrt) BOBLY INJURY(PerMCMeiit) PftOPtRfV DAMAGE(Pti-BceW«mJ AU 1 0 ONLY • CA ACCIDENT OTHER THAN EAACC AUTO ONLY: AG(, EACHOCCURRCNCC AGGREGATE X I vyt*amiu* 1 j vi"iTOHVLMrrsl j ER E.LEACHACCIDFNT E.L. DlSbASC • EA CMPLOYFF E.L. DISEASE • POLICY UMIT 8 I 1 S *S S S S S S S $ S 1 S S S s 1,000.000 » 1,000,000 * l.OOO.OOC BEiGRiPTOM OP orcMATiotisa.ocAiioNS'vaHiCLEsrexcLunoNS ADDED BY INDORSEMENT/SPECIAI PROVISIONS .ICENSE * 7994*1 LO DAY NOTICE APPLIES FOR NON PAYMENT OF PREMIUM CANCELLATION CEAflFttATE W&LKR | | ADO.TIOMAL INSURED; INSURHI LI™ CAHCELUTioM Contractors State L1c«nse Board ATTN: WORKERS COMP UNIT P.O. BOX 26000 SACRAMENTO, CA 95826 SHOULD ANY OF THE ABOVI OBCWUO POUQCS BC CANCCUm UFOftfi THE EXmUWOM DATE THCREOF, THE WSUWW COMPANV VWLV CMOCAVOR TO MAIL 30 PAYS WHITTEN NOTICE TO TMj CgRTIHCATl HOLDER MAMED TO THE LtfT. BUT FAILURE TO MML SUCH WOTICB SHALL IMPOSE NO OBLIGATION Oft LIABILITY OF ANY WND WON THE COMTANY, ITS AGEHTf OR RfPRESENTATIVES. wyfyt*s*etog&ENJxnyct .- .-^-;.,xi^Tfyj^ u^fYWflp FAX: (916)255-2199 KB CORPORATION