HomeMy WebLinkAbout2501 PALOMAR AIRPORT RD; ; CB131288; Permit05-21-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB131288
Buil(ding Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2501 PALOMAR AIRPORT RD CBAD
SIGN
2130201800 Lot# 0
$14,000 00 Construction Type NEW
CALIFORNIA BANK & TRUST- 4 NEW
SIGNS - ILLUMINATED
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
05/21/2013
RMA
05/21/2013
05/21/2013
Applicant
ADIMPACT
19772 MAC ARTHUR BLVD
STE 110
92612
949-476-0015
Owner
COUNTY OF SAN DIEGO
PUBLIC AGENCY OOOOO
Building Permit
Add'l Building Permit Fee
Plan Check
Add1 Plan Check Fee
Electrical Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$166 07
$0 00
$11625
$0 00
$31 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $313 32
Total Fees $313 32 Total Payments To Date $313 32 Balance Due. $0 00
Inspector
FINAL APPROVAL
Date 7^' / ^3 Clearance
NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information v^ith the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zonmg, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exaclions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
THEFOLLOWiNGAPPROVALSREQUIREDPRIORTOPERIVIITISSUANCE DPLANNING nENGlNEERING •BUILDING OFIRE nHEALTH • HAZMAT/APCD
CITY Of
CZAR LSBA
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email buidling@carlsbadca gov
www carlsbadca gov
Plan Check No.
^Jst. Value / ^IP^
Plan Ck. Deposit
CtA\'--ShilN SWPP
SUITE#/SPACE#/IINIT# APN
CT/PFiOJECT # LOT # PHASE # # OF UNITS # BEDROOrVIS # BATHROOMS TENANT BUSINESS NAME 1 CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet Of Affected Area(s) \
^orVei\ <C>J5- '1^^v (V) t^^ui loMiUllA^ 2>iQ[Vl$^ l^^^ (h^JlTLj)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES • # NO • YES • NO n YES • NO •
APPUCANT NAME (Primary Contact) i _
•AAliM«xc5\- Cof^t^-e ^[q\Acu^
APPLICANT NAME (Secondary Contact)
ADDRESS ' ' 1 ^ ' ADDRESS
CIPf " " STATE ZIP CITY STATE ZIP
PHONE , , A FAX PHONE FAX
EMAIL
PROPERTY OWNER NAME ObNTRACTOR BUS NAME A \ 1 ^ ^ .
ADDRESS ADfcRESS , , , k ' 1 / ^ /
CITY STATE ZIP CITY STATE ZIP^
PHONE FAX
EMAIL
ARCH/DESIGNER NArUE & ADDRESS STATE LIC # STATE LIC # J —, , 1 CLASS ,j CITY BUS LIC «
(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 ofthe 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))
i
Workers' Compensation Declaration / hereby affirm under penalty of peijury one ofthe fotlomng declarations
n I have and will maintain a certificate of consent to self*insure for woriors' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm it is issued
13 I have and v»ill maintain workers' comnensation, as required by Section 3700 of the Labor Code, for the performance of the woA for which this permilis issued My workers' compensation inspranre earner and policy
/ Niumberare InsuranceCo -tVrA^gl-€'VS> ^Wy^. OfiS.Ual-f^ PolicvNo Mf>^W5^7^<^y ExoiraHon Date /g>////g>
This section need not be completed if the permit is for one hundred dollars ($100) or less
n 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 subject to the Workers' Compensation Laws of
Calfornia WARNING Failure to secure workers' compensalion coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE •AGENT DATE
I hereby affirm that I am exempt from Contractor's bcense Law for the following reason
n I, as owner of the property or my employees with wages as their sole compensation, will do the work and Ihe 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 properly who builds or improves thereon, and who does such work himsert 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 lhat he did not build or improve for the purpose of sale)
• I, as owner of the properly, am exclusively contracting with licensed contractors 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 vwth conlractor(s) licensed pursuant to the Contractor's License Law)
• I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement O Yes 13 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 (fimi) to provide the proposed construction (include name address / phone / co ntractors' 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 vrork, but I have contracted (hired) the follovung persons to provide the work indicated (include name / address / phone / type of work)
^eiTpROPERTy OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous matenals registration form or nsk management and preventon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP D Yes 13 No
Is the facility to be constructed within 1,000 feel 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
1 cerbiy that 1 have read the application and slate thatthe above inlbnnalion is conect and thatthe infonnation on the plans is accurate 1 agree to comply with all City ordinances and State laws relating to building constmction
I hereby authonze representative of the City of Caiisbad to enter upon the above mentioned property for inspecton 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 stones in height
EXPIRATION Every pemnit 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 fiDm the date of such permit or if the building or viork authonzed by such pemiit is su^nded pr abandoned at any time after the work is commenced for a penod 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.
CERTIFtCATI
Fax (760) 602-8560, Email www buildinq(3)carlsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#. (Office Use Only)
CONTACT NAME OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
• PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above)
D CONTRACTOR (On Pg 1)
• IVIAIL / FAX TO OTHER
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspectiori List
Permits CB131288 Type SIGN CALIFORNIA BANK & TRUST-4 NEW
SIGNS - ILLUMINATED
Date Inspection Item Inspector Act Comments
07/09/2013 38 Signs - Rl ^ CARD IS W/SUPER
07/09/2013 38 Signs PD AP '
Thursday, July 11, 2013 Page 1 of 1