The URL can be used to link to this page

Home My WebLink About2521 PALOMAR AIRPORT RD; 100; CB131574; Permit07-01-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CBI31574 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2521 PALOMAR AIRPORT RD CBAD St 100 SIGN 2130201800 Lot# 0 $20,000 00 Construction Type NEW PANERA BREAD-SIGN-ILLUMINATED & AWNINGS- ILLUMINATED Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/01/2013 RMA 07/01/2013 07/01/2013 Applicant ULTRASIGNS INC STE 150 9025 BALBOA AV SAN DIEGO CA 92123 858-569-1400 Owner COUNTY OF SAN DIEGO 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 $224 87 $0 00 $157 41 $0 00 $31 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $413 28 Total Fees $413 28 Total Payments To Date $413 28 Balance Due: $0 00 Inspector FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or olher 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 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 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 EUPLANNING QENGINEERING •BUILDING •FIRE •HEALTH •HAZMAT/APCD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov vwvw carlsbadca gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP ROJECT # I |L0T# I PHASES. jttOFU SUITE#/SPACE|/UN|T# CT/PROJECT # tt OF UNITS # BEDROOMS # BATHROpMS TENANT BUSINESS NAME CONSTR TYPE DESCRIPTION OF WORK Include Sauare Feet Of Affected Area(s) [S^ ATl^ X/^i^-V XLI- tx5av\ SDIG^IA EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUVCE YESn# N0| I AIR CONDITIONING YES I I NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (Primary Contact) . ADDRESS I '. APPLICANT NAME (Secondary Contact) 6 "^ul.bg-q A^. ADDRESS i-^ClZ> STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL , EMAIL CONTjiACTCtR BUS NAME , ADDRESS CITY r—\ STATE PHONE . / FAX ^ CITY STATE ZIP PHONE / [FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# jsuanceralso requires ttfl; (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 issuanceT^soTequlres tH 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)) WorkereLCompensation Declaration / hereby affirm under penalty ofpeijury one of the follomng declarations I ^1 have and will mamtain a certificate of consent to self insure for woikers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the wortc for which this permit is issued • I have and will maintain workers' cgmBensatifiQias reguired bv Section 3700 of the Labor Code for the perfonnance of the work for which this oeimit is issued My workers' compensatioi insurance earner and policy O 5) Jr~ . PolicyNo Q / ^ (x>^ Expiration Date I / / / / ^ number are InsuranceCo. Bsection need not be completed if the permit is for one hundred dollars ($100) or less Certificate of Exemption I certify that in the perfonnance ot the woik for which this penrot is issued, I shall not employ any person in any manner so as to become subject to the Workeis' Compensation Laws of Califomia WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to Uie cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees jfiS" CONTRACTOR SIGNATURE V<:^^*^A/H '^hj\\M. JL^Cf. (^^«SENT DATE 6. luiiumu uiuu llll ' l^S-'-S'',if'lA<^i,- I heretiy affirm that I am exempt from Contractor's bcense Law for the following reason I I I, as owner of the pnjperty 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 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 puisuant to the Contractor's License Law) I I I am exempt under Section Business and Professions Code for this reason 1 I peisonally plan to provide the major labor and matenals for constmction of the proposed property improvement QYOS I INO 2 I (have / have not) signed an application for a building pennit 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, supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some of the wort(, but I have contracted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of wori() PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazaidous matenals registration form or nsk management and prevention program under Sectons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf Yes No Is the applicant or future building occupant required to obtain a pennit from the air pollution control distnct or air quality management distncP Yes No Is the facility to be constnjcted 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 1 certify that 1 have lead the application and state that ttie aboveinformation is conect and that theinfbimation on the plans is accu rate, lagree to comply with all City oidinances and I hereby authonze representative of ttie City of Cailsbad to enter upon ttie above mentoned propeity for inspection puiposes 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 pemiit is iBquired for excavations over 5'0' deep and demolition or constnjction of structures over 3 stones in height EXPIRATION Eveiy pennit issued by the BuiWing Official under the provisions ofthe Code shall expire by limitation and become null and void if the building or woik authonzed by such pemnit is not commenced within 180 days from the date of such pennit or if the building orwoik authonzed by such pennit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unifomi BuikJing Code) ygTAPPLICANT'SSIGNATURE \XK^OC^ "^^^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. CATE OF OCCUPANCY |Comiinercial Projects Only) Fax (760) 602-8560, Email building(5)carlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0#' (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX ElVIAIL 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 ' ASSOCIATED CB* NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit* CBI 31574 Date Inspection Item 09/19/2013 38 Signs 09/19/2013 38 Signs 09/19/2013 39 Final Electrical Type SIGN Inspector Act Rl PD AP PD AP PANERA BREAD-SIGN-ILLUMINATED & AWNINGS- ILLUMINATED Comments Friday, September 20, 2013 Page 1 of 1