HomeMy WebLinkAbout2515 PALOMAR AIRPORT RD; ; CB130980; Permit04-15-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB130980
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2515 PALOMAR AIRPORT RD CBAD
SIGN
2130201800 Lot# 0
$12,000 00 Construction Type NEW
LOWES - 5 SIGNS ILLUMINATED
status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/15/2013
SKS
04/15/2013
04/15/2013
Applicant
MATTHEWS SIGNS INC
Owner
COUNTY OF SAN DIEGO
550 W 6TH AV
ESCONDIDO CA 92025
858 435 0822
PUBLIC AGENCY OOOOO
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
$146 47
$0 00
$102 53
$0 00
$31 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $280 00
Total Fees $280 00 Total Payments To Date $280 00 Balance Due $0 00
Inspector
FINAL AP
M2-Date
BRO//AL
Clearance
NOTICE Please take NOTICE thai approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred lo 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 action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exaclions 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 previouslv 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 • PUNNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/ APCD
Building Permit Application
,^ 1635 Faraday Ave , Carlsbad, CA 92008
CITY OF Ph 760-602-2719 Fax 760-602-8558
C A PI CD An email buidling@carlsbadca gov
/^r\L^D/^L/ • www cailsbadca gov
Plan Check No. \ 3
Est. Value j c3^50
Plan Ck. Deposit /
Date I /^^ I O SWPP
JOB ADDRESS
» LOT# 'I PH«E # I # OF UNITS j # BEDRC
SUITE#/SPACE#/UNIT#
CT/PROJECT# # BATHROOMS TENANT BUSir^ESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /ncfude Square Feet of Affected Are^(s)
tNstp>i( Q.Ttf I S€r dimmed Cc^Li4 I3(i> u<Y^ 4- <sm^'
^S:i¥ 0 Sifi^^ C Gl-nj ,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD #_ NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NO •
JCANT NAME (Primary Contact)
'AX RI • ADDRESS
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE
PHONE FAX
ZIP CITY
PHONE
CONTRACraR BUS NAME^ / .
ADDRESS I ADDRESS
STATE n . ^ ZIP „ STATE
^ONE PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC # / CITY BUS LIC#
(Sec 7031 5 Business and Professions Code Any City or County which requires^ 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))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
O I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Lat>3r Code, for the performance of the work for which this perm it is issued
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work lor which this permit is issued My workers' compensation insurance earner and policy
number are Insurance Go _^sS^iJii^_£A£jLi. Policy No .^S'j-iSl'f Expiration Date.
ation insurance earner and pol
This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption I certify that in the performance of the work for which this perniit 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Sectipn 3706 of the Labor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE J r<-~^x4/ . - MAGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
• I, as owner of the property or my employees v»ith 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 lor 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 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 O 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 (firm) 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, supen/ise and provide the major work (include name / address / phone / contractors license number)
5 I will pj^Bflda^ome of the work, but I have contracted (hiied) the following persons to provide the work indicated (include name / address / phone / type of work)
>eJ'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 • Yes • No
Is the applicant or future building occupant required to obtain a perniit from the air pollution control distnct or air quality management distncf n 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 ttiat 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
I certly that I have read the applicaton and state that tlie above information is coitect and that the infoimaton on tlie plans is accurate I agi ju to comply with all City ordinances and State la\^s relating to building construction
I hereby authonze representative of the City of Carlsbad to enter upon the above mentoned 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 AnOSHApermitisrequiredfor excavations over 5'0' deep and demolition or constrijcton of structures over 3 stories in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buikJing or work authonzed by such pennit is not commenced within
180 days from the date of such permit or if the building or work authonzed by suchroemiit is suspended or abandoned at any time after the «ork is commenced for a penod of 180 days (Section 108 4 4 Unifonn Building Code)
y^TAPPLICANT'S SIGNATURE '"^tfO-^-^^ Hlisrfp
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
C E R T I F I C , C C U P . C o m m e r c ejects Only)
Fax (760) 602-8560, Email www buildinorSjcarlsbadea gov 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
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DEUVERY OPTIONS
• PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
a MAIL / FAX TO OTHER
• ASSOCIATED CB»-
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspectioii List
Permit# CB130980 Type SIGN LOWES - 5 SIGNS ILLUMINATED
Date Inspection Item
10/07/2013 38 Signs
10/07/2013 38 Signs
10/07/2013 39 Final Electncal
Inspector Act
RI
PD AP
PD AP
Comments
Wednesday, October 09, 2013 Page 1 of 1