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Home My WebLink About2521 PALOMAR AIRPORT RD; 107; CB140003; Permit01-03-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No. CB140003 Building Inspection Request Line (760) 602-2725 Job Address Permit Type. Parcel No Valuation Reference # PC# Project Title 2521 PALOMAR AIRPORT RD CBAD St 107 SIGN 2130201800 Lot# 0 $1,400 00 Construction Type NEW NOODLES & CO WALL SIGN ILLUM Status- Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/03/2014 SKS 01/03/2014 01/03/2014 Applicant CERTIFIED SIGN INC Owner COUNTY OF SAN DIEGO 29215 CALLE DE CABALLOS SUN CITY CA 92585-9605 951-928-2484 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 $35 62 $0 00 $24.93 $0 00 $33 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $93 55 Total Fees $93 55 Total Payments To Date $93 55 Balance Due: $0.00 Inspector . APPROV/XL FINAL APPJROVy Date 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/exaotions" 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 se! forth in Government Code Section 66020(a), and file the protest and any olher 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 nght 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 projecl NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNING •ENGINEERING •BUILDING DFIRE • HEALTH •HAZMAT/APCD] Plan Check No. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building(@carlsbadca gov Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS ^^^^ 'Va'^>">^r- /(Ur^*^~'+Hpl SUITE«l/SPACE#/UNIT« APN CT/PROJECT # LOT* PHASE* # OF UNITS # BEDROOMS # BATHROOIVIS TENAigr BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 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 APPLICANT NAME (Primary Contact) APPLICANT NAIVIE (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL PROPERTY OWNER NAIVIE Judy M^^i£>K^e^ CONTRACTOR BUS NAME ADDRESS ADDRESS CITY STATE C-O 'goto ^ I CITY STATE ZIP PHONE gf'g) 3^^' C'FAX PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS •75-/r^-/ >3 , CITY BUS L1C# / _ (Sec 70315 Business and Professions Code Any City or County whicn requires a 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 ofthe 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 ofthe following declarations I have and will maintam a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertonnance of the worl< for which this perniit is issued J have and will maintain workers' compensation, as reguired by Secfion 3700 of the Labor Code, forthe performance of the work for which this permit is issued My workers'compensation insurance camer and policy numberare Insurance Go _ Policy No L^.^L>J G Expiration Date a - \ f . I'f This setSion need not be compieted if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption-1 certify that in the perfomiance of the work for which this permit 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 (&iOO,000), in addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attomey's fees ygS" CONTRACTOR SIGNATURE / J .fer*, ^ •— ^3^GENT DATE / , "I / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason I I I, as owner of the properfy 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 nol 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 pumose of sale) I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044, Business and Prafessions Code The Contractor's Ucense 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 Licsnse 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 malenal.s for construction of the proposed property improvement •Yes I INO 2 I (have / have not) signed an application for a building perniit for the proposed work 3 I have contracted with the following person (firni) lo provide the proposed constmction (include name address / phone / contractors' license number) 4 1 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 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) >£!rPR0PERTY 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 Sections 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 permit from the air pollution control district or air quality management distncP " 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) Lenders Name . Lender's Address I certfy that I have read the applicaton and state thatthe above infonnation is coirect and thatthe infonnaton on the plans is accurate. I agree to comply with ali CHy ordinances and State laws relating to building constucton I hereby authonze representatve ofthe City of Cailsbad 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 PERMfT OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height EXPIRATION Every pemiit issued by the Building Official under the provisions of this Co6e shall expire by limitation and become null and void if the buikjing or work authonzed by such petmit is not commenced within 180 days from lhe date of such pemiit or if the building or work authonzed by such pemiit is suspended or abandoned at any tme atter the work is commenced for a penod of 180 days (Section 106 4 4 Unifoim Building Code) ^t APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERlVlIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Only Fax (760) 602-8560, Email buildina(5)carlsbadca gov or Mall 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 PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) , CONTRACTOR (On Pg 1) IVIAIL / FAX TO OTHER: ' ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jgS"APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB140003 Type: SIGN NOODLES & CO. WALL SIGN ILLUM. Date Inspection Item 02/27/2014 38 Signs 02/27/2014 38 Signs 02/27/2014 39 Final Electncal 02/27/2014 39 Final Electrical Inspector Act Comments Rl PD AP Rl PD AP Tuesday, March 04, 2014 Page 1 of 1