HomeMy WebLinkAbout2505 PALOMAR AIRPORT RD; 101; CB140107; Permit01-16-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB140107
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2505 PALOMAR AIRPORT RD CBAD St 101
SIGN
2130201800 Lot# 0
$3,500 00 Construction Type NEW
JAMBA JUICE- INSTALL ONE ILLUM
WALL SIGN
Status
Applied
Entered By
F'lan Approved
Issued
Inspect Area
ISSUED
01/16/2014
LSM
01/16/2014
01/16/2014
Applicant
SAN DIEGO ELECTRIC & SIGN
STE 312
1920 CORDELL CT
EL CAJON CA 92020-0900
619-258-1775
Owner
COUNTY OF SAN DIEGO
PUBLIC AGENCY 00000
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electncal Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$68 07
$0 00
$47 65
$0 00
$0 00
$0 00
$0 00
$33 00
$0 00
TOTAL PERMIT FEES $148 72
Total Fees $148 72 Total Payments To Date $148 72 Balance Due-$0 00
Inspector
FINAL APPRpV/y V/AL
Date Clearance
NOTICE Please take NOTICE that approval of your proiect 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 achon 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 oreviouslv 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 PERMIT IS.SUANCE nPLANNING nENGINEERlNG DBUILDING QFIRE OHEALTH J HAZMAT/APCD
4
CiTY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
vnvw carlsbadca gov
Plan Check No. <lftl4cvO^
Est. Value
Plan Ck. Deposit
Date I SWPPP
JOB ADDRESS SUITE#/SPACE#/UNITl»
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s)
L<^ LJCJ\
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESn# N0| I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPUCANTJilAME (Primary Contact) , . / APPLICANT NAME (Secondary Contact;
ADDRES: ADDRESS
CITY STATE . CITY STATE ZIP
PHONE FAX PHONE
EMAIL EMAIL
PROPER' TY^WNERNAME , /• CONTRACTOR BUS NAME.
ADDRESS ADDRESS
CITY ,.STATE , ZIP CITY STATE -- ^Tt- ZIP
PH0N6-, FAX PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC # STATE LIC # aTYBUS LIC# , n, Qt
(Sec 70315 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))
Workers' Cginpensation Declaration ; hereby affirm under penalty of perjury one of the following declarations
ve and will maintain a certificate of consent to self insure for workers' compensation as pnDvided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued
11 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 workers' compensation insurance earner and polii
Policy No _ Expiration Date _ number are InsuranceCo.
This section need not be completed if the permit is for one hundred dollars ($100) or less
I J Certificate of Exemption I certify that in the performance of the woj)i*ir which this permit is issued, I shall not employ any person in any mannersp-asTo become subject to the Workers' Compensation Laws of
California WARNING Failure to secure workers' compensatioi)'<!oyerage is unlawful, and shall subject an employeMo criminal penajties^d civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damM^lMpr^idedJj^^ ^^^^^
>£f CONTRACTOR SlGNATURr\/r>V^'^</>^ ^ ' •^iH AGENT "'TP ^ ^ DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 imprcives 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 buiden of proving that he did not build or improve for the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044, Business and Piofessions 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 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 riNo
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimn) to provide the proposed constmction (include name address / phone / contractors' license number)
4 I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major woik (include name/address/phone/contractors' license number)
5 1 will provide some of the work, but 1 have contracted (hiied) the following persons lo provide the work indicated (indude name / address / phone / type of work)
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 Yes 5^'^ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district 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 the perfonnance of the work 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 intdnndticn is conect and that the infomiation on the plans is accuiate I agitie to comply with all City ordinances and State laws relatng ts building construction
I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pennit IS required for excavations over 5'0' deep and demolition or constnjction of stnictures over 3 stones in height
EXPIRATION Every pemiit Bsued by the Building Official under the provisions of this Code shall expire by limitaton and become null and void if the building or mtk authorized by such perniit is not commenced within
180 days from the date of such pennit or if the buildinpor vwrkauthonzedby^uch perniit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT'S SIGNATURE
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 buildina(S)carlsbadca gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008
C0#- (Office Use Only)
CONTACT NAME OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS LlC No
DELIVERY OPTIONS
PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL TO
IVIAIL/FAX TO OTHER
CONTACT (Listed above) '„ OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permits CB140107 Type SIGN JAMBA JUICE-INSTALL ONE ILLUM
WALL SIGN
Date Inspection Item Inspector Act Comments
01/29/2014 38 Signs PD AP
01/29/2014 39 Final Electncal PD AP
Thursday, January 30, 2014 Page 1 of 1