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HomeMy WebLinkAbout2495 FARADAY AVE; MULTI-PERMIT FILE; CB151415; Permit... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-08-2015 Sign Permit Permit No: CB151415 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2495 FARADAY AV CBAD SIGN Lot#: 0 2090503300 $3,860.00. Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: FEDEX-INSTALL ONE ILLUM WALL Inspect Area: CABINET AND ELECT FOR MONUMENT SIGN REPLACEMENT Owner: ISSUED 05/08/2015 LSM 05/08/2015 05/08/2015-- REYNER SIGNS AND LIGHTING LEONARD LUANNE L LIVING TRUST 09-20-88 3 ARCILLA 92688 949-888-0808 Building Permit Add'! Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'! Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Total Fees: $137.16 Inspector: 36-560 SAQUARO CT RANCHO MIRAGE CA 92270 Total Payments To Date: FINAL APPROVAL Date: Clearance: $61.27 $0.00 $42.89 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 $137.16 $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 been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. . THE FOLL'OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH 0HAZMATIAPCD {'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. e& l 'SJ 41 S Est. Value 3fi6'D Plan Ck. Deposit DateS--t.;;-SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT/1 APN CT/PROJECT# #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME r(3D6/\ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~~~l\ i --:C:\l \A,~ '"v-- EXISTING USE APPLICANT NAME Primary Contact ADDRESS ADDRESS CITY PHONE EMAIL 1 -\ I ~ ~---(""II') ~c;f:t CONTRACTOR BUS. NAME STATE ZIP FAX STATE LIC. # CONSTR. TYPE OCC. GROUP CITY BUS. UC.# I ';}-::fis-Cj (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 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 exemP.t 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)). , . . . . . . ~©i1.HJh]@0"' ~~1iJ!J~13g)~{,\} 'u'O®W Workers' Compensation Declaration: I hereby affinn unrfer penalty of perjury one of the following declarations: 01 r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p c number are: Insurance Co. ______ -r--r--fr--~~~---~--Policy No. { '8 >J 8 Y, \ Expiration Date --+ ....... <-"----''-l--'-''--la,.;' This section need not be completed if the permit is fp o D Certificate of Exemption: I certify that in t e pe r California. WARNING: Failure to secure rke ' c addition to the cost of compensation, da age s r dollars ($100) or less. f 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 sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housa d dollars (&100,000), in · ed for in Section 3706 of the Labor code, interest and attorney's fees. RS CONTRACTOR SIGNATURE 0AGENT DATE ',f,', I hereby af/inn that I am exempt ~ ntrac r' ·cense Law for the following reason: D D D empl s 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 an ow e 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 g or impr ment is sold within one yearof 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 prope , am excl 1vely 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 i proves the on, and contracts for su projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and essions Code for this reason: 1. I personally plan to provide the major labor and 1?t rials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for ,oyil'ding permit for the proposed work. 3. I have contracted with the folio ·ng perso rm) to provide the Jlll'IIOsed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the k, b ave hired th:}Jll~ng 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 contracte 111'red) the following persons to provide the work indicated {include name I address/ phone/ type of w k): ,,- RS PROPERTY OWNER SIGNAII..IE!J,..,--, 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? 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. 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 I certifythatl have read the application and state that the bove in nnation is correct and that the infonnation 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 Carlsba · o ente pon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST$ D ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required for excavatio9s'1 ver 5' r; eep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buildi g ial ~, r the provisions of this Code shall expire by limitation and become null and void ff the buiiding or work authorized by such pennit is not commenced within 180 days from the date of such pennttor if the · · ing o au · by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 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. CERTIFICATE OF OCCUPANCY /Commercial Projects on lyj Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) 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 PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. i) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. i) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE {City of Carlsbad September 29, 2015 Permit Number: tB:t5,14t8 LEONARD LUANNE L LIVING TRUST 09-20-88 36-560 SAQUARO CT RANCHO MIRAGE CA 92270 RE: BUILDING PERMIT EXPIRATION Issue Date: May 8, 2015 REYNER SIGNS AND LIGHTING 3 ARCILLA 92688 ADDRESS: 249·5-FA'~DAUV ~-n,..,_.., ___ ---~ - PERMIT TYPE: SIGN PERMIT (BUILDING) PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate thpt your building permit will expire by limitation of time on November 4, 2015 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Maria Emery Senior Office Specialist Community & Economic Development Building Division J 1635 Faraday Avenue Carlsbad CA 92008-7314 J 760-602-2700 J 760-602-8560 f J www.carlsbadca.gov City of Carlsbad ,i r 07/14/2000 Sign Permit Permit No:CB002629 Building Inspection Request Line (760) 602-2725 Job Address:1 Permit Type: 2495 FARADAY AV CBAD SIGN Parcel No: Lot#: 0 Valuation: $2,000.00 Construction Type: NEW Reference #: Project Title: FED-EX-MONUMENT SIGN ON SLOPE WITH ELECTRIC Applicant: WESTERN SIGN SYSTEMS 1020 LINDA VISTA DR SAN MARCOS, CA 92069 760-730-6070 Total Fees: $92.02 Building Permit Add'I Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES lnsp~hl FINAL APPROVAL Date: ¢t;& l Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 07/14/2000 RMA 07/14/2000 07/14/2000 OOOi 01 C-PRMT $92.02 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 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 oreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 .. PERMJT APPLICATION PLAN CHEC CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ' EST. VAL.-~---=------ Plan Ck. Deposi e Valida~yr Date 4 (L(/ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use # of Bedrooms Name Address City State/Zip Telephone# City Business License # _______ _ Address City State/Zip f y~,,, --~WQ:~K§'ff~~®MP~firt~TJ9N>~~·:;,:,,,!_v.~--~ -"~''7:7:: ~:;~~2£,, ~:it&~·:{~~::";"', ', -,ti.~·~A ".f~:.,:·,.;f_ij ,··:':-.,..:,_?,;,_:/: ];~ ,-::~;-:-.::~::) ·:: =J.~f. -·, ~'. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone 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 ork for which this permit is issued. 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 i sued. My worker's O pensati~~~ie~rance carrie'iend policy number are: . ) hPW)/4 l..d'7"2~1 . . q~, ).~ ~~_,.__ Insurance Company , ;1'(7.,d tfit Pohcy ~'-,A_,_ ~(,,U-ffe-='---~/-~...,.,'---'./___ Exp1rat1on Date.19+--.-"--.,,_~ ___ _;,_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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. thousan dollar ($10 ,000), in additio e-coifof compensation, damages as provided for in Section 3706 of the L bor ode, interest and attorney's fees. WARNIN~: ,ailur o secure workers' compensatio'!,_~.QV.erage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATU E Q.J;__:J ~ DATE_,_,~~'j;+.r.===' ="-'-"'-- ~z;~:;':~::...oW.~!;_ij'fJ3.:.i.!1J.P~1ft>(c_~M, 'itt."_;,·,., . , ~'S:.::1.-L:~ ;~~:i3s:l ·:,::..t':t:-~§~'it'.::{'·' I hereby affirm that I am exempt from the ontractor' s License 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). 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 who 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 Professions Code for this reason: 1. I personally plan to provide the major labor 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 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/ 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 _________ _ lc'oMi!:Ce:rH:ttfs:S:!lc'.tloN:7FORiNON-'.8£Si5mro(L~BU]j/QiNG"iERMifijfflil¥1;c~3/ P ,.;-, : ::·?t: x::>t;::· ;?,: ;, s· ;; it>}•/ :· '';{' · ;-:-:;;,;:;-··:;".:, ~<;.: ~;-:', '-;.. 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? D YES D NO Is the facility to be constructed within 1,000 feet of the ~uter boundary of a school site? D 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. /ij.,=~:fif($~t~ilct19NW~Jo1r:Rfj~Eij,i[V.:j;{;;xtrJ;:;;i~:;;:;; I.::: ~;'.;{;'.\IT1.L~t;1tx.z;J:7:t '.;"~{. .'. '.\ ... · \' V :--',"'* -. • -~ " ~ -. ' ' >. ,_,:;..·__..., 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 _____________ _ LE(IIDER'S ADDRESS. _______________________ _ j$;,:;:A,P,P!;\c.:ANT:-g1;1n.1£,J;~t!Q,r,t ;: ,~-2tl'..:Z5:'7:iE2!2,""",?:;:J;i:~".:;)/~,G'1::~~:'::-::::..::::;;~;::::,7-:':":z7 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 Cit~ 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. QSHA: 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 ·es ed 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 ot c menced within O days from the date of such permit or if the building or work authorized by su petm·t is suspended or abandoned at any time after the work is need fo -a (Section 106.4.4 Uniform Building Code). "':;> /, r '"-. /Vi . APPLICANT'S SIGNATUREv~=-~~=~..2,;.,,,. __ ,::-_-;_;_______________ DATE -.:....; ( ,'--/-'-1 ;......-4/4/(_:::c· _.....__,c.._ __ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/21/2000 Permit# CB002629 Title: FED-EX-MONUMENT SIGN ON SLOPE Description: WITH ELECTRIC Type:SIGN Sub Type: Job Address: 2495 FARADAY AV Suite: Lot 0 Location: APPLICANT WESTERN SIGN SYSTEMS Owner: Remarks: Total Time: CD Description 38 Signs Associated PCRs Inspection History Date Description 7/27/2000 11 Ftg/Foundation/Piers 7/27/2000 38 Signs Act Comments Act lnsp Comments AP TP FOR SIGN WC TP Inspector Assignment: TP --- Phone: 7607366070 Inspector: L Requested By: PAUL Entered By: CHRISTINE City of Carlsbad 02/23/2000 Sign Permit Permit No:CB000618 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2495 FARADAY AV CBAD SIGN Parcel No: Lot#: 0 Valuation: $2,345.00 Construction Type: NEW Reference #: Project Title: FED EX 2 WALL MOUNTED ILUM SIGNS Applicant: WESTERN SIGN SYSTEMS 1020 LINDA VISTA DR SAN MARCOS, CA 92069 760-730-6070 Total Fees: $106.34 Building Permit ! Add'I Building Permit Fee : Plan Check ' Add'I Plan Check Fee '\,\ Electrical Fee Renewal Fee \ Add'! Renewal Fee \ Other Building Fee TOTAL PERMIT FEES FINAL APPROVAL Date: /.:1.,~ J Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/23/2000 JM 02/23/2000 02/23/2000 0582 02/23/00 0001 01 02 $~2.33 $0.00 $34.01 ,$0.00 1$0.00 C-PRMT 106u34 $106.34 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 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 Cartsbad 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 rig ht to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacliy 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 has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. o/3._/~/y EST. VAL. ?,:71 l(5 Plan Ck. Depos=iL~-------- Vafidated By_:J __ µ,.-___ ---,~l-....,./..f--- Date ____ --=if-=v--"3'+--'/ti-0,,__ Legal Description Lot No. Subdivision Name/Number Existing Use State License # _________ _ Unit No. \_ Phase No. Proposed Use t1J,,:-·:w.P1i~1=.!f~u:;0:1V1J~1;fi.l,~.r1QN';:::~z:~-:s:·. .·. .",:~~':,~,,,·:·,:..:': ····-~::··:·,:::·::::'{~;::..:-:c:3;;,:::E:3f:'~~{3!~t:,:··~~s;,};.,_ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Total # of units 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 if work for which this permit is issued. · 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 d. My worker's compensatiOJJ12~~aA:: ~arrier amtpolicy number are: . j ½ ~L, '--} A'.2/Y\ . . C) !-~ 1-V\ Insurance Company &J ~~ltt!?-Policy No~--~~~--~~~,.-~L~V~'~ -µ__;_~ Expiration Date ..if_~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 Contractor's License Law does not apply to an owner of property wlio 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 propose·d property improvement. D 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 J)erson (firm) to provide the proposed construction (include name I 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/ 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 number/ type of work): ______________________ ~~-------------------------------- PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ t~Q.MR~~teta.i.$:·~ggfJQNfl;Q..S.:t1..<iN'i/i¥stfJ.lif.t(IN..!~'.tJ)i;T;i1_N~1ff.~ijMif§..t9N.k~i.2'.::~tg;G,2°:::::z'Jt1~~Y::fsr~;:;::::.::·iir:d-.:~:'.L!~.;t';-::.· ,·,-: ··-;, ls 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer bqundary of a school site? D YES D 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. :..St:-&'q.9!!1~:tl'lVP:El/:fN~t;rifl?,1.N~}¥G~~gy,~2~';;, ~/-:.(1\'::{:.. · •• i,. ,.•,, I hereby affirm that there is a construction lending agency for the perfqrmance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME f!l;;: tl'.AP.11!,!'QA.l'flk;;:ll;;l,:~;;.T:;;;:l.f:;:!C:;:: .. ~:;. f;:!P;;;;~•~;:. 1::-;;:::_::,=-;-.. ;:\::;:':;;.\;::::;:;;_-:--:_,_ :;:;;:;::;;:;;:::::~: ... _ ... ,;,~~-:;:,.:_: .. ~.,;,;;:_;;;::;~~:::;::;::~,i,~.,,:..,,.;....,._~<,r~".,..-.. ,·::,,··._:,..;,,.(:~,,,-fl.l,.;c I certify that I have read the application and state that the above information is correct ~nd 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 Citt 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 i not comme ced within 180 da s 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 i com e ed for a · d :SeG!ionJ.D.§6.4 Uniform Building Code). /,~; / ~2) APPLICANT'S SIGNATURE 1-,L,P-<"--"-"=--====ie::.,,-"'--"'--r""-<:,--------------DATE ._c><_t-/-'-~~-t! ___ c;~ __ L.U_( ____ _ I YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/21/2000 Permit# CB000618 Title: FED EX • ELEC TO MONUMENT Description: 2 WALL MOUNTED ILUM SIGNS Type:SIGN Sub Type: Job Address: Suite: Location: 2495 FARADAY AV Lot APPLICANT WESTERN SIGN SYSTEMS Owner: Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: TP --- Phone: 7607366070 Inspector: E_ Requested By: PAUL Entered By: CHRISTINE 38 Signs £ _______ _ Associated PCRs Inspection History Date Description Act lnsp Comments