HomeMy WebLinkAbout2521PALOMAR AIRPORT RD; 101; CB132804; Permit11-13-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CBl32804
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2521 PALOMAR AIRPORT RD CBAD St 101
SIGN
2130201800 Lot# 0
$1,600 00 Construction Type NEW
GEL TOUCH NAIL SPA- NEW SIGN
ON ENTRY WALL- ILLUMINATED
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
11/13/2013
RMA
11/13/2013
11/13/2013
Applicant
KDSIGN
STE D
UNIVERSITY AVE
SD 92105
619-584-4333
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
$39 88
$0 00
$27 92
$0 00
$33 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $100 80
Total Fees $100 80 Total Payments To Date $0 00 Balance Due: $100.80
Inspector
FINAyAP^R^y^L
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
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 proiect NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE- •PLANNING •ENGINEERING •BUILDING •FIRE QHEALTH •H/gMAT/APCD
.,00
^ CITY OF
Est. Value /
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov A . \ i
www.carlsbadca.gov ll\^ P^*® i }^ I I K 1?^^^
^^^^^^^^^^^^^^ ^^^^^^j^^^^^^^^j^^^^^^immmmm
Plan Check No.
Plan Ck. Deposit
JOB ADDRESS
CT/PRO;K;T # tnx M I'l AT « DUACC Vu
SUITE#/SPACE#/UNIT#
tl BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Area(s;
EXISTING USE
^^V<TA\
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES I |# NOj I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact)
ADDRESS
TY STATE
ADDRESS
CITY STATE
PHONE FAX PHONE
EMAIL
ABORESS
PROPERTY OWNER NAME ^ _ / CONTRACTOR BUS. NAME _ ^ fv
ADDRESS
ITY SWli STATE ZIP
PHONE HONE ~~ FAX
EMAIL
ARCH/OESIGNER NAME & ADDRESS ^ _ ^ '..L^ico ^ CITY BUS LIC # r ,
(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 issuance, also requires
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law ICnapter 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 / fierefcy affirm uncfer per7a/fy of perjury one ofthe following declarations
• I have and will maintain a certificate of consent to self-msure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
CZ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued My workers' compensation insurance camer and policy
number are Insurance Go Policy No Expiration Date
This sestton need not be completed if the permit is for one hundred dollars ($100) or less
(^Certificate of Exemption I certify that in the perfornnance of the work for which this permit is issued, I shall not employ any person m any manner so as to become sub|ect to the Workers' Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), m
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE l(
/ heredy affirm that I am exempt from Ointractor's bcense 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 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 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 pursuant to the Contractor's License Law)
I [ I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement [^Yes I |No
2 I (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 constmction (indude 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 work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
ygS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP 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 ttiere is a construction lending agency for the perfomiance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify IfiatI have lead Ifie application and state that tiie above infbnnationis conect and tiiat the infomiation on the plans Is accurate, (agree ID comply witii all Ci^ ordinances and State laws relatng to building constiuction.
I hereby authonze representative of the City of Carlsbad 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stones in heght
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buiWing or work authonzed by such pennit is not commenced wittiin
180 days from the date ofsuch permit or if the building or work authonzed by such pemiit is suspended or abandoned at any time after the work is commenced fbr a penod of 180 days (Section 106 4 4 Unifonn Building Code)
vglTAPPLICANT'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 buildinq(5)carlsbadca gov or Mall the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
STATE CITY STATE
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)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permits: CB132804
Date Inspection Item
12/30/2013 38 Signs
12/30/2013 38 Signs
12/30/2013 39 Final Electncal
Type: SIGN
Inspector Act
Rl
PD AP
PD AP
GEL TOUCH NAIL SPA- NEW SIGN
ON ENTRY WALL- ILLUIVIINATED
Comments
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