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Home My WebLink About2525 El Camino Real; 101A; CB163998; PermitPrint Date: 04/19/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2525 El Camino Real, 101A BLDG-Commercial 1563020900 $5,000.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: Sign Status: Lot#: Applied: Reference #: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: SIGN -DAVEANDBUSTERS: INSTALL 2 EXTERIOR ILLUMINATED SIGNS, 4 INTERIOR ILLUMINATED SIGNS Applicant: P.5. SERVICES 316 E Dyer Rd, Suite B Santa Ana, CA 92707-3756 714-513-1870 Total Fees: Owner: PlAZA CAMINO REAL Pob 130940, Dept Wfld Westfield Property Tax Dept. CARLSBAD, CA 92013 Total Payments To Date: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf 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 project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CB163998 Closed -Fina1ed 10/25/2016 10/25/2016 MColl ' ., THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BU1LD1NG OFIRE OHEALTH OHAZMAT/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.carlsbadca.gov Plan Check No. a\b3°t9~ Est. Value 5 1 OCO Plan Ck. Deposit Date lb ~'& t lo SWPPP JOBADDR~ 2.'!!: SUITEI/SPACEf/UNITf APN CT/PROJECT# CONSTR. TYPE OCC. GROUP ':+ t EXISTING USE PROPOSED USE GARAGE (Sf) APPLICANT NAME CITY ZIP '?~(o EMAIL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# PATIOS (SF) PROPERTYO ADDRESS Z.fito CITY AIR CONDITIONING YES0No0 ZIP 75'03-g- FAX , s. Strv/e'-5 ZIP "I c. WIP FIRE SPRINKLERS YESONoD (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per.m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme.nding with Section 7000 of Division 3 of the B_usiness and Professions Code) or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. 6',11 have and will maintain workers~p,pepon, as required Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. ~ v"I PolicyNo. 'fft,l/(f(<, ExpirationDate /0-J/-/7 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages p "ded for In Section 3706 of the Labor code, interest and attorney's fees. JI! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason- 0 D D 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 wt,o 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, as owner of the property, am exclusively contracting with licensed contractors to construct 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 am exempt under Section ~----Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an applicaUon 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 I phone I 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following peIBons to provide the work indicated (include name I address I phone I type of work): JIS PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri D Yes D No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state that the above infonnatlon Is oonectand that the infonnation on the plans is accurate. I agree to oomplywtth all Cilyordinances and State law.; relating to building oonstruction. I hereby authorize representative of the Crtyof Carlsbad to enter up:m the aOOve mentioned property br ins~ purp::ises. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING Of THIS PERMIT. OSHA: M OSHA !):!rm~ is required for excavations over 50' deep and demciittm or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Offdal under the ~visions of this c.ode shall expire by limitation and become null and voa ~ the building orv.ork authorized by sudl permit is not commenced 'Mthin 180days from the date ofsudl f):!rmil or if the building orv.ork authorized by such perm~ is suspended or abandoned at any time after the 'MXk is commenced for a period of 180 days (Sectkln 106.4.4 Uniform Building C.ode). _.15 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (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 OP'llONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. :1.) o ASSOCIATED CB#------------- MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSfflUCTION MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB163998) Permit Type: BLDG-Commercial Application Date: 10/25/2016 Owner: Work Class: Sign Issue Date: 10/25/2016 Subdivision: Status: Closed -Finaled Expiration Date: 04/24/2017 Address: IVR Number: 717905 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 04/19/2017 04/1912017 April 19, 2017 BLDG-38 Signs 020418-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 020417-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Scheduled Paul York COMMENTS Passed Paul York COMMENTS PLAZA CAMINO REAL CARLSBAD TCT#76-18 2525 El Camino Real, 101A Carlsbad, CA 92008 Reinspection Passed No Passed Yes Yes Yes Yes Yes Complete Incomplete Complete Page 1 of1