HomeMy WebLinkAbout2509 PALOMAR AIRPORT RD; ; CB131889; Permit08-07-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB131889
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
2509 PALOIVIAR AIRPORT RD CBAD
SIGN
2130201800 Lot#: 0
$15,000.00 Construction Type: 5B
SHELL GAS: VARIOUS SIGNS: ON
CANOPY, BUILDING & MONUMENT
Status:
Applied:
Entered By:
Pian Approved:
issued:
Inspect Area:
ISSUED
08/07/2013
JMA
08/07/2013
08/07/2013
Applicant:
PROMOTION PLUS SiGN CO
Owner:
COUNTY OF SAN DIEGO
9420 RESEDA BL
NORTHRIDGE CA 91324
818-993-5406
PUBLICAGENCY 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
$175.87
$0.00
$123.11
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $298.98
Total Fees: $298.98 Total Payments To Date: $298.98 Balance Due: $0.00
EXPIRED PERMIT
PERMIT HAS EKPIKED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE SIGNATURE.
Inspector:
FINAL APPROVAL
Date: 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 imposilion 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. Faiiure to timely follow that procedure will bar any subsequent legal action to attacl<,
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 previousiv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING nENGINEERING nBUILDING DFIRE nHEALTH nHAZMAT/APCD
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.carisbadca.gov
Plan Check No. (3 • 1 fif^
Est. Vaiue
Plan Ck. Deposit
Date SWPPP
JOBADDRESS , ^
T/PROJECT# ^ LOT# / I PHASE #
SUITE#/SPACE*/UNIT«
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP
DESCRIPTION OF WORK: Include Square Feet of AITected Areafs;
C-cn^oj>4 {a cat C.5)-
EXISTING USE^ /
(2>oc S ro-h
PROPOSED UgE . GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|» N0| 1
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
AP^CANTNAME (Primary ContacOl APPLICANT NAME fSecondary Contact;
ADDRESS
CiTY STATE
ADDRESS
Y-4ir\iriC^
^
STATE ZIP CITY STATE
FAX PHONE
' O ^OKMQ- 1 Ol/i pL^f,Covn
EMAIL
PROPEI :R]3U>WNBfl Nf ME IQNWACTOR BUS.WAME ' \. ^
ADDRESS / • Q ADDRESS
NE Vj FAX
EMAIL
ARCH/DESIGNER NAIVIE & ADDRESS CITY BUS. LIC.#
:ture, prior to Its Issuance, also 1 (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 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
Workers' Compensation Declaration: / herefiy affirm under penalty ofpeijury one ofthe following declaratbns:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sedion 3700 of the Labor Code, for the performance of the vrark for which this pemilt Is issued.
/Vyjj have and will maintain woriiers' compensation, aMegulred by Section 3700 of the Labor Code, for the performance of the wori< for which this permit is issued. My workers' compensation Irisuraiice carrier and policy
number are: Insurance Co, PQb Vpt-^ . Policy No. _lfeA?SiC& Expiration Date *f ^ V \ \ .
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 perfonnance of the worit 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
Califomia. WARNING: Faiiure to secure woriters' compensation coverage is unlawful, and shaii subject an employer to criminai penalties and civii flnes up to one hundrsd thousand doiiars (&100,000), In
addition to the cost of compensation, damages as provided for in Section itii ol tnrtabsMO^, interest and attomey's fees.
JS^ CONTRACTOR SiGNATURE • AGENT DATE
OWNER-BUitOER DECIARATION
/ fierefiy affimi ftef / am exempt from Contractor's License Law for the following reason:
I I I, as ovmer 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 Prafessions 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 buiden of praving 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 contractore to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I I 1 am exempt under Section Business and Professions Code for this reason:
1.1 pereonally plan to provide the major labor and materials for construction of the proposed praperty improvement. •Yes I INO
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following pereon (fimi) to provide the proposed construction (include name address / phone / contractore' license number):
4.1 plan to pravide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major worit (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contrxted (hiredUhe following persons to provide the vrorit indicated (include name / address / phone / type of worit):
^efpROPERTY OWNER SiGNATURE
liredHhe folio
•AGENT DATE
THIS SECTION r O R N O N - R E S I O E N T I A L B U I t D I N G P E R Ml T S ONL
Is the applicant or future building occupant required to submit a business plan^xutely hazaidous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes
Is the applicant or future building occupant required to obtain a permit fronnnSliir pollution control district or air qupx^management district? Yes Cjj^^
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes Z''^?
IF ANY OF THE ANSWERS ARE YES, A FiNAL CERTiFiCATE OF OCCUPANCY MAY NOT BE ISSUED UNttSS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AiR POLLUTION CONTROL DISTRiCT.
ION LENOING AGENCY
I hereby affirm that there is a construction lending agency for the perforntance of the work this permit is Issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that 1 have read the appik:atk)n and state thatthe above infonnation is correct and thatthe intbnnation on the plans is accurate. 1 agree to complywith all Cify ordinances and State laws relating to building construction.
I hereby authorize lepnesentative of the Cify of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AC^INST AU UABILITiES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAiNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AT (DSHA pemit is required for excavations over 5'0' deep and demolition or construction of stnjctures over 3 stories in height.
EXPIRATION: Every perniit issued by the Building Official under the provisbns ofthis Code shall expire by limitation and become null and void if the building or wrak aulhorized by such pemiit is not commenced within
180 days from the date of such permit or if the building or worit authorized by suej) penriH is suspendtilpi' abandoned at any time after the worit is commenced fbr a period of 1 ^ days (Section 106.4.4 Unifonn BuikJing Code).
vfiTAPPLICANT'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 buildinq(a)cai1sbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed dbove) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: 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
>ef APPLICANT'S SIGNATURE DATE