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Home My WebLink About2521 PALOMAR AIRPORT RD; 106; CB142547; Permit10-01-2014 City of Carlsbad 1635 Faraday Av Carisbad.CA 92008 Sign Permit Permit No: CB142547 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation; Reference #: PC #: Project Title: 2521 PALOMAR AIRPORT RD CBAD St; 106 SIGN 2130201800 Lot#; 0 $1,500.00 Construction Type; 5B ROOSTERS; NEW WALL SiGN Status Applied Entered By Pian Approved Issued inspect Area ISSUED 10/01/2014 JMA 10/01/2014 10/01/2014 Applicant; MALL SIGNS & SERVICE Owner: COUNTY OFSAN DIEGO SUITES 113 12439 MAGNOUA 91607 818-764-1909 PUBLICAGENCY 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 $34.11 $0.00 $23.88 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $57.99 Total Fees: $57.99 Total Payments To Date: $57.99 Balance Due: $0.00 Inspector; Clearance; NOTICE: Please take NOTICE that approval ofyour project includes the "Impcrsition' of fee6, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit vnas issued to protest imposition of these fees/exactions. Ifyou 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 attacl<, 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 ofwhich vou have previousiv been oiven a NOTICE similarto Ihis. or as to which the statute of limilalions has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING DENGINEERING QBUILDING DFIRE IHEALTH ] HAZMAT/APCD %^ 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.carisbadca.gov PlanCtiecl<No.(^:^(^~ 'ZS^"/^ Est. Value ^.^Z 5 0 O Pian CW. Deposit Date lO/l It Deposit SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT tt tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME ^ ^p!S 6/tl>3iM/ll/b- CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) _ ^ f lOSTT^ LtQi^ o/o'^ TL(-L/^tr^t^rsv CHAro/uec Ctrrren. ^CL^/af^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES|~|# N0| 1 YES QNO Q YES| | NOj j APPUCANTNAME -V^rCC ^1^1 Primary Contact ^Vi|— T^CT \ CJrH PROPERTYOWNER^^ ^ y ./O ADDRESS ADDRESS c—'yl r ^ . CITY^^ _ STATE ZIP PHONE ^ , „ mk7i<rsM9 '"^iBK^i-itol FAX ' «-"'•—' '""'''S/frAJ/t^iT^M/i/c* C&n EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME K4 >^ , . ^ j .-<ix- ADDRESS A / / l/l ADDRESS / ~, y, _ CITY /{/ j IM— STATE ZIP CITY . STATE ZIP PHONE FAX PHONE ^ A —. ^ ^ "^'S/B'?64/9o'=f Eli/IAIL ™AIL /i^^<^^^^^jr/^c(^x4(9<:.*^^'^ STATE LIC. # STATE LIC.#>«. , ^ g)//<5 74- CLASS CITY BUS. LIC.# \ . / applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Cfiapter 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five.hundred dollars ($500)). C O M P E N S A T i €» i Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe following declarations: • I tieie and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued. J^irhave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance o^tte work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Go. *^a~r>=^ ^vjtv/ l? Policy No. f OiJ7S2>& Expiration Date Z*^ ' / ^— 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 permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califomia. t/VARNING: Failure to secure wortters' compensation coverage Is unlawful, and sliall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees. CONTRACTOR SIGNATURE '^^^^^TV^'^-^JW-^ (2t«I./4 -^SJENT DATE /O '/ ' / ^ >eLJ CON IKAUTOR SIGNATURE 7 ECLAHATION / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property 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-buiider 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 construct the project (Sec. 7044, Business and Prafessions 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: 1.1 personally pian to provide the major labor and materials for construction of the proposed property improvement. •Yes CUNO 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 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 work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 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): yfiTpROPERTY OVVNER SIGNATURE QAGENT DATE Is the applicant or future buiiding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 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. -• 1 • J.'JSff • 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 J - . ^... .-. • I certfy that I have read the appllcatkin and state thatthe above Inlbnnation is conect and that the Information on the plans Is accurate. I agree to complywith all City ordinances and State laws relating ID building constructkin. I hereby authorize representative ofthe City of Cartsbad to enter upon the above menttoned property fbr 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 pemiit is nequined for excavations over 5'0' deep and demolitbn or constmctton of stmctures over 3 stories in height. EXPIRATION: Every permit Issued by the Building Ofiicial under the provistons of this Code shall expire by Imnitalion and become null and void if the building or work authorized by such pemiit is not commenced within 180 days from the date of such permit or if the building or VK)ri< authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectton 106.4.4 Unifomi Building Ckxie). vfiTAPPLICANT'S SIGNATURE DATE /o -l-l 4^ 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 buildinq(S)carlsbadca.qOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME 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 / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION JgiAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB142547 Type: SIGN ROOSTERS: NEW WALL SIGN Date Inspection item 10/24/2014 38 Signs 10/24/2014 38 Signs 10/24/2014 39 Final Electrical Inspector SP SP Act Rl AP Fl Comments am pis Monday, October 27, 2014 Page 1 of 1