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HomeMy WebLinkAbout2521 PALOMAR AIRPORT RD; 104; CB132230; Permit09-17-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBI32230 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2521 PALOMAR AIRPORT RD CBAD St: 104 SIGN 2130201800 Lot#: 0 $2,200.00 Construction Type: NEW JERSEY MIKE'S-1 SIGN-CHANNEL LETTER- ILLUMINATED Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/17/2013 RMA 09/17/2013 09/17/2013 Applicant: MAIN STREET SIGNS AND MAINTENANCE Owner: COUNTY OF SAN DIEGO PO BOX 1318 CARDIFF BY THE SEA CA 92007-7318 760-632-5250 PUBLIC AGENCY 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 $58.27 $0.00 $40.79 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $132.06 Total Fees: $132.06 Total Payments To Date: $0.00 Balance Due: $132.06 Inspector: FINAL Date ^L APPROVAL: Clearance: NOTICE: Please take NOTICE that approval of your project 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 foiiow/ 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 tollow that procedure will bar any subsequent legal action to attaci<, 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 pianning, zoning, grading or other similar appiication processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactif)ns of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of iimitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: nPLANNING •ENGINEERING IZlBUILDING OFIRE OHEALTH •HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. 225 SWPPP JOB ADDRESS CT/PROJECT # DESCRIPTION OFWORK: iK: /nc/ude Square Feet of Affected Araafs; 7 ~Z . T CONSTR. TYPE EXISTING USE L// PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~|# N0| I AIR CONDITIONING YES [^NOI I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME {Pt\m APPLICANTNAME (Secondary Contact; ADDRESS ADDRESS CITY CA. STATE CA ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL 12-EMAIL PROPERTY OWNER NAME / ^ CONTRACTOR BUS. NAME ADDRESS ADDRESS cm 7 / / STATE „ ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS 1^ CLASS Cyr- (Sec. 7031.5 Business and Professions Code: Any Cl^ or County which requires a pernnit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor 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 ofthe Business and Professions Code) ortnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). f ers' Compensation Declaration: / hereby affimi under penalty ofpeijury one ofthe following declarations: have and will maintain a certificate of consent to self-Insure for wortters' compensation as provided by Section 3700 of the Labor Code, for the performance of the wort< for which this permit is issued, have and will maintain workers' compensation, as required by S^on 3700 of the Labor Code, for the perfomiance of the wort( for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. S'-Z'^fc T^f^t^ e/ Policy No. ^ ^/ Expiration Date V^' /'/*-/ This section need not be completed if the permit is for one hundred dollars ($100) or less. ^Certificate of Exemption: I certify that in the performance of the wort< for which thi|. Califomia. WARNING: Failure to secure workers' compenattion coverage^is addition to the cost of compensationjUtwagcs as provid for in Section/ JS^ CONTRACTOR SIGNATURE I v miit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In Labor code, Interest and attomey's fees. 9//?, • AGENT DATE Wmi N f «-»I i o E R » E C I. A H A T'ion I hereby affinn that I am exempt from Co^(rac^o^s Ucense Law for the following reason: I I I, as owner of the property or my employeesVith wages as their sole compensation, wiil 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 praRerty 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 SqW within one year of completion, the owner-builder will have the burden of proving that he dk) not build or improve for the purpose of sale). I I I, as owner of the praperty, am exclusively contractin^ith licensed contractors 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 Ux such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I i am exempt under Section Business and Prolessions Code for this reason: 1.1 personally pian to provide the major labor and materials fSr constniction of the proposed property improvement QYes | |No 2.1 (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): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supervise and pravide the major work (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have contracted (hired) the follawing persons to provide the work indicated (include name / address / phone / type of worit): PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECtlOM FOR N O N - R E S I O E N T I A I. BUttOiH0 P E R iM I T S O |U L Y Is the applicant or future building occupant required to submit a business plant acutely hazanjous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes Dcko Is the applicant or future building occupant required to obtain a pemiit fram the air pollution control district or air quality management district? Yes v. No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes dvUo IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. TR WCTIO W LENOINQ AGUNCY I hereby aflirm 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 ff^y / ^ Lender's Address AtP m C AM T C E R T i r I C'A T I O I ceiliiy that I have read the applicatkin and state that the above information Is conectand thatthe infomiatton on the plans Is accuiate. I agree to comply with all City oidinances and State laws relating to building construction. i hereby authorize lepresentative of the City of Carisbad to enter upon the above mentioned property lor 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 CRY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of sjtjictures over 3 stories in height. EXPIRATION; Every pennit issued by the Building Oflicial under the pro\n?iais ofthis Code shallffl(pre^ limitation and become null and void if the building or wori< authorized by such permit is not commenoed within 180 days from the date of such pemiit or if the building or work authori^by such penn*l6 susflendeaor abandoned at any tme after the work is commenced for a period of 180 days (Section 106.4.4 Uniform BuikJing Code). yfi^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. Fax (760) 602-8560, Email buildina(5>carlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Offlce Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP 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/FAXTOOTHER: 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 ^efAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB132230 Date Inspection Item 03/17/2014 38 Signs 03/17/2014 39 Final Electrical 03/14/2014 38 Signs 03/14/2014 38 Signs 03/14/2014 39 Final Electrical Type: SIGN Inspector Act PD AP PD AP Rl PD AP PD AP JERSEY MIKE'S-1 SIGN-CHANNEL LETTER- ILLUMINATED Comments PLS CALL Monday, March 17, 2014 Page 1 of 1