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Home My WebLink About2519 PALOMAR AIRPORT RD; 100; CB131781; Permit07-25-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB131781 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2519 PALOMAR AIRPORT RD CBAD St 100 SIGN 2130201800 Lot# 0 $2,600 00 Construction Type NEW FIVE GUYS- 2 SIGNS-ILLUMINATED LED-CHANNEL LETTERS Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/25/2013 RMA 07/25/2013 07/25/2013 Applicant TAYLOR SIGN Owner COUNTY OF SAN DIEGO 14537 KITTERY ST POWAY CA 92064 858 231-3036 PUBLIC AGENCY OOOOO Building Permit Addl Building Permit Fee Plan Check Add'l Plan Check Fee Electncal Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $58 27 $0 00 $40 79 $0 00 $31 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $130 06 Total Fees $130 06 Total Payments To Date $130 06 Balance Due-$0 00 Inspector FINAL Date -APPROVAL f- X/} Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exaclions" You tiave 90 days from ttie date ttiis permit was issued to protest imposition of ttiese fees/exaclions If you protest ttiem, you must follow ttie protest procedures set fortti in Government Code Section 66020(a), and file the protesi 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/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 proiect NOR DOES IT APPLY to any fees/exaclions of which vou have previously been given a NOTICE similar to Ihis. or as to which the statute of limitations has previously otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE OPLANNING nENGlNEERING nBUILDING DFIRE EALTH •HAZMAT/APCD 4m> 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 carlsbadca gov JOB ADDRESS SUITE#/SPACEl»/UNr 100 tt BATHROOMS ITENMft' BUSINESS NAMI Xii/i. ' CT/PROJECT # PHASE # # OF UNITS « BEDROOMS DESCRIPTION OF WORK Include Square Feet of Affected Areafs; /'osTWcc^ T^o ueD ^CLj^m/ABATED ^^Afo^^^ ^Tia ^eTs, EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANTNAMEjPr/mary Contact; APPLICANT NAME (Secondary Contact; ADDRESS ADDRESS CITY STATE 9-2-1 CITY STATE ZIP PHONE FAX PHONE FAX EMAIL PROPERTYgJWNER NAIVK _ /, ' / CONTRACTOR BUS NAIVIE ADDRESS ADDRESS STATE CITY STATE ZIP 0«^o trA- ^^^^ PHONE _ > " [FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS (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 issuancrf also requires the/ applicant fcr 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 Sectio/ TiuOO of Division 3 of. 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'suDjects the applicant t civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affm under penaity of perjury one ofthe foiiowing declarations • I 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 performance of the work for which this perniit is issued • I 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 camer and policy number are Insurance Co 'S'7~A"n5 •F^(^/H/P PolicyNo ff)¥ 22. > Expiration Date /-J/x 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 perfomiance of the work for which this perniit is issued, I shaii 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 fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages es provided for in Section 37Ui of the Labor code, interest and attomey's fees ygS" CONTRACTOR SIGNATURE xaZ^Ltv*-^*/*-.*^ ,^^^^L-^>^ IT] AGENT DATE 7''^^~I2> I hereby affirm that I am exempt from Contractor's Ucense Law for the foiiowing reason I I I 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, Busmess 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construclion of the proposed property improvement •Yes I INO 2 I (have / have not) signed an application for a building pemnit for the proposed work 3 I have contracted with the following person (finn) to provide the proposed constmction (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) is the applicant or future building occupant required lo 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 permit from the air pollution control district or air quality management distnct^ 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 performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certfythatl have lead the applicaton andstatethatttieaboveinfomiatoniscoitectandthatthemfbnnation on the plans IS accurate lagree tocompiywith all Cifyordmances and State laws relatngto building constnicbon 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 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 pemnit IS required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height EXPIRATION Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or vwrk authonzed by such pennit is not commenced within 180 days from the date of such pennit or if the building or v«)rl< authonzed by such pemit is suspended or abandoned al any tme after the mik is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code) >£S'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. R T t F I C ; CCUPANCY (Commercial Projci Fax (760) 602-8560, Email buildinQ(5)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 ADDRESS BUiLDING ADDRESS CITY STATE CITY Carlsbad CA PHONE FAX EMAIL OCCUPANT S BUS LIC No DELIVERY OPTIONS PICK UP CONTACT (Listed above) 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 ^APPLICANT'S SIGNATURE DATE Inspection List Permit# CBI 31781 Date Inspection Item Type SIGN 09/11/2013 38 Signs 09/11/2013 38 Signs 09/11/2013 39 Final Electrical Inspector PD PD ^ct^ Rl AP AP FIVE GUYS- 2 SIGNS-ILLUMINATED LED-CHANNEL LETTERS Comments 10-12 PM PLS Thursday, September 12, 2013 Page 1 of 1