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