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Home My WebLink About2614 EL CAMINO REAL; ; CB122043; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2012 Sign Permit Permit No: CB122043 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2614 EL CAMINO REAL CBAD SIGN Lot#: 0 1670307600 $3,750.00 Construction Type: 5A PARI LAND ONE ILLUMINATED WALL SIGN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/09/2012 MOP 10/09/2012 10/09/2012 SIGN DIEGO 2744 MIDWAY DR VANDERBURG MARITAL DEDUCTION TRUST 08-22-90 92110 619 225-8230 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 3434 RIDGECREST DR CARLSBAD CA 92008 $68.07 $0.00 $47.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $115.72 Total Fees: $115.72 Total Payments To Date: $115.72 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take N that approval of your project includes the ·'lmpofition" 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. 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 project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. THE Fs,LOWINp APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0ENGINEERING 0BUILDING 0HAZMAT/ APCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value ~ 1 ~""O Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# APN l.C...l-4 E\ c-.,.~"'° 2.e .... \, c.,...-\slo...J., C.A \ "'., CT/PROJECT# LOT# PHASE# #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) SWPP -,~ -oo CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD APPLICANT NAME (Primary Contact) ""I.A. ,-..) v-J A-\G.. \-\ \ ADDRESS "2..1'-\Y. ' s, PROPERTY OWNER NAME '1 A,-.)b"E:'2.. ~ '-\v1.-..:ic... ,Lv~, c./.,, \.\ CONTRACTOR BUS. NAME """r.~"'t""'-t""""<S S\C..i-..l bL ~C....0 (lo.,... JV\....rc.o-rt~ -o ... m.r..- ADDRESS 1.:3, l..oQ..Po/1.A-rE PL.A "2.A l.:)IL s .... : "\II- CITY STATE Nt..= or-t i5<e.c.c..\..... CA ADDRESS "2.'-1,~ 2,'-\'-\ Mil:>....>A'I. b.l, ZIP 'i '2.C. 0 PHONE STATE l..A FAX ZIP C\"'2.\ 10 PHONE FAX (9'-1.'\ "1 S'i. -'\5"3. I ~. '2.'-\ \ (11,1c;') '2.."?-S'-"6i..~0 (lo\"-) 2'2. EMAIL EMAIL s~ V'-J-~ e. C, @. sloe... \olo,\ . "'-C..--t' ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# llot.., ,,'\ C-'-1.S' 11.l e,2>1..0 (Sec. 7031.5 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 the applicant for such permit to file a signed statement tnat he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the 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: 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 performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. S::t...-11~ F..,."".\ 'l=.'r<e. ~ G:.sv,l-\'{ Co+1 Policy No. ';o -B fJ... -'/.. o 33> · J Expiration Date S' f I I I '3, l I This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance 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 se ompensation 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 compensatio , da o 'ded in Section 6 o h aborc~~~-~,IJ!)JI.Jttorney's fees. ,Je5 CONTRACTOR SIGNATURE C]AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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 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). D 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). D 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. D Yes D No 2. I (have I 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 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 persons to provide the work indicated (include name I address I phone I type of work): ,Je5 PROPERTY OWNER SIGNATURE Cl AGENT DATE Inspection List Permit#: CB122043 Type: SIGN PARI LAND ONE ILLUMINATED WALL SIGN Date Inspection Item Inspector Act Comments --·--- 10/24/2012 69 Final Masonry RI BETWEEN 10-12 PM PLEASE 10/23/2012 19 Final Structural PY AP 10/23/2012 38 Signs PY AP Tuesday, October 30, 2012 Page 1 of 1