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Home My WebLink About2501 EL CAMINO REAL; 220; CB151149; Permit04-16-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Sign Permit Permit No: CB151149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2501 EL CAMINO REAL CBAD St: 220 SIGN 1563020800 Lot#: 0 $4,500.00 Construction Type: 5B PANERA BREAD: NEW ILLUM SIGN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/16/2015 JMA 04/16/2015 04/16/2015 Applicant: WILLIAMS SIGN CO. 111 S HUNTINGTON ST POMONA CA 91766-1436 909-622-5304 Owner: CMF PCR LLC c/o WESTFIELD PROPERTY TAX DEPT PO BOX 130940 DEPT WFLD CARLSBAD, CA 92013 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Checic Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $70.09 $0.00 $49.06 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $119.15 Total Fees: $119.15 Total Payments To Date: $119.15 Balance Due: $0.00 Inspector: FINAL A, Date .APPROVAL ^ Clearance: NOTICE: Please take NOTKIE that ifiproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction^" You/ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follov^ 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING nENGINEERING [JBUILDING OFIRE nHEALTH nHAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 emaii: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ^'g?(S' (I Est. Value <^ ^^QTO Plan Ck. Deposit SWPPP V^CtJ. OL^CL www.carisbadca.gov Dai^f^^^^^J^^^ SWPPP CT/PROJECT # |LOT# I PHASE # |# OF UNITS I«BEDROOMS # BATHROOMS I TEJlAmBUSINESS NAME I CONSTR. TYPE I OCC GROUP III I I I DESCRIPTION OF WORK: Include Square Feet of Affected Aiea(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~> NOj I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPUCANT NAME Primary Contact C/WACI /3rM( PROPERTY OWNER \l\/e.^^fic\d /VU ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS III/- \^\Ar)^^n^rwi^ ^-r- STA|I? ZIP ~ CITY STATE ZIP CITY PHONE FAX EMAIL , ^ CLASS I CITY BUS. Lie. #<' (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 pursuantto the provisions ofthe Contractor's License Law (Chapter 9, ccmmendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempttherefrom, and the basis forthe 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)). W 13 RK ERS' CO M P E N S A T I O N Workers' • niirr Workers' Compensation Declaration: / heieby affinn under pena/fy of perjury one of the fotiowing declaiations: 1Jiiave and will maintain a certificate of consent to self-insure for «forl<ers' compensation as provided by Seciion 3700 of the Labor Code, for the perfomiance of the work for which this permil is issued, have and will maintain workea' compensation, as required by Section 3^ of the Labor Code, for the perfomiancejOf the work for which this permit isjssued. My workers' compensation in^ur^ce ca/er and policy number are: Insurance Co. {^/'lk'(\\^g^ <yr\4- ' r the perfomiancejOf the work for which this permit is issi Policy NO, yVOP|<>^7>6 f(/?n7 Expiration Date _ A- Thjs section need not be completed il the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as lo become subjeci lo the Workers' Compensalion Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and clvllfines up to one hundre^thousanjl dollars (&100,000), in addition to the cost of compensation, damagens provided for in Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTORSIGNATURE AGENT DATE idred thou sand nioL y5 / heietsy affirm that i am exempf from Conlracfor's Ucense Law for the fotiowing reason: I I I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the staicture is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply to an owner of property viho builds or improves thereon, and who does such work himself or through his own employees, pravided that such improvements are nol intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden of proving lhat he did not build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contraclors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law). I [ I am exempt under Seciion Business and Professions Code for this reason: 1.1 personally plan to provide the major iabor and materials for construction of the proposed property improvemenl •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted wilh the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4. i plan to provide portions of the woik, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some oi the work, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of work); PROPERTY OWNER SIGNATURE •AGENT DATE COHAPLETE THIS SECTION FOR N O N - R E S i D E ISI T i A 1 BUILDING PERMITS ONLY Is the applicant or fuluro 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 tuture building occupant required to obtain a permit from the air pollution control district or air quality management districl? Yes No Is the fxility to be constmcted 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 CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agency for the perfomiance of the woi1( this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION 1 ceit%tliat 1 have read the applkatlon and state thatttie above Infbimation is conect and ttiat the infbnnatton on ttie plans Is accurate. 1 agiee to complywlth all CHy ordinances and State laws lelattng to building constmctton. I hereby aulhorize represeritative of the City of Carlsbad to eriter upon the above meritioned property for irispediori purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavatioris over 5'0' deep and demolition or constructon of stnictures over 3 stories In height. EXPIRATION: Every pemiit issued by the Buikiing Oflicial under the provisbns of this Code shall expire by limtotion and become null and void if the building or wxk aulhorized by such pennit is not commenced wilhin 180 days Iiom the date of such pemiit or if the building or work authorized by such pemiit is suspended or abandoned at any time after the wnk is commenced for a period of 180 days (Section 106.4.4 Unifonn Buikiing Code). vgS"APPLICANT'S SIGNATURE •r-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. Fax (760) 602-8560, Email buildinq(5)carlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAiL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- iVIAIL/FAX TO OTHER:. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permlt#: CB151149 Type: SIGN PANERA BREAD: NEW ILLUM SIGN Date Inspection Item 04/29/2015 38 Signs 04/29/2015 38 Signs 04/29/2015 39 Final Electrical Inspector Act Rl PY AP PY AP Comments AM PLS Thursday, April 30, 2015 Page 1 of 1