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Home My WebLink About2505 PALOMAR AIRPORT RD; 100; CB131824; Permit07-30-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB131824 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2505 PALOMAR AIRPORT RD CBAD St 100 SIGN 2130201800 Lot# 0 $6,000 00 Construction Type NEW CHIPOTLE - 2 SIGNS ILLUMNATED Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/30/2013 SKS 07/30/2013 07/30/2013 Applicant STELLAR INSTALLATlONS/LINDA SMITH Owner COUNTY OF SAN DIEGO 3185 ARMSTRONGS DR CORONA CA 92881 714-907-0192 PUBLIC AGENCY OOOOO 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 $87 67 $0 00 $61 37 $0 00 $31 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $180 04 Total Fees $180 04 Total Payments To Date $180 04 Balance Due-$0 00 Inspector FINAL ARPROVAL Date ""^Mt^ Clearance NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier 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 It 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 mVn 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 lhat 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 m connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE OPLANNING OENGINEERING •BUILDING •FIRE •HEALTH •HAZMATIAPCD W CITY OF Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www carlsbadca gov S^-^ Plan Check No.<Sf5 I 3( Est. Value Plan Ck. Deposit Date y/ 3^ f 3 [gyyppL JOB ADDRESS SUITE#/SPACE#/JUNIT# - , I . APN , ^ _ ffHROOMS TENKNT BUSINESS NAME Oct GROUP / CT/PROJECT # CONSTR TYPE DESCRIPTION OF WORK Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfn* NOj I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I ) - 2r I ft _/ t "\ AD! V' ' CTATC J>PLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP FAX PHONE FAX EMAIC EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAIVIE ADDRESS. " ' ^ZIP , ADDRESS CITY CITY i I ^ I FAX PHONE EMAIL ~ , l/tASS ~I I CITY BUS Lie* ARCH/DESIGNER NAME & ADDRESS (Sec 7031 5 Business and Professions Code Any City or County which requires a pernnit to construct, alter, improve, demolish or repair any structure, prior to its issuan'cfe, 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)) Workers' Compensation Declaration I hereby affirm under penalty ol perjury one of the follomng declarations [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 perfomiance of the work fcr which this permit is issued have and will maintain workers'compensation as required bv Sectipn3700 of the Labor Code for the performance cf the work for whdi ttULPermit is issued l^y workers' compensation insurani number are Insurance Co |\J f) \(7f^—-^r\ ^ PolicyNo ^)<^CK 5><0 Expiration Date n insurani^ came/and pjlicy This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the performance of the work for which this pennit 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 is unlawful, and shall subject an employer to cnmmal penalties and civil flnes up to cne hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Sectioj^3706 ot,the Labor code, interest and attomey's fees JS^ - ^ • CONTRACTOR SIGNATURE AGENT DATE 7/ gs/ys / fiereiiy affirm (fiat / am exempt from Contractor's License Law for the follomng reason I I 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) • 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) [ I 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 •Yes I INIO 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 / 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 / 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 / type of work) y^S'pROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account AcP A < 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 " Yes No Is the facility 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 I hereby affirm that there is a construction lending agency for ttie performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address Icerti^thatl have lead theapplicataonandstatethattheaboveinformatonisconECtandthattheinfbnriation on the plans isua Uigiee to complywith all Cityordinancesand State laws lelatingto building constmction I hereby authonze iBpresentative ofthe City of Carlsbad 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 LIABILfTIES, 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 staictures over 3 stones in height EXPIFIATION Every permit issued by the Building Ofiiaal under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days from the date of such pennit or ifthe building or wjuk^nthonzed by such permit is suspended or abandoned at any time after the v«ik is commenced fbr a penod of 180 days (Section 106 4 4 Unifoim Building C^de) 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. Fax (760) 602-8560, Email buildinatSjcarlsbadca gov or Mail ttie completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE _ ZIP 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) IVIAIL TO CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL/FAX TO OTHER ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION ' CHANGE OF USE/NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION ' CHANGE OF USE/NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit# CB131824 Type SIGN CHIPOTLE - 2 SIGNS ILLUMNATED Date Inspection Item Inspector Act Comments 09/26/2013 38 Signs MC AP PER PLAN 09/26/2013 39 Final Electrical MC Fl Friday, September 27, 2013 Page 1 of 1