HomeMy WebLinkAbout2618 EL CAMINO REAL; ; CB030970; Permit04-03-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB030970
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2618 EL CAMINO REAL CBAD
SIGN
1670307700 Lot#
$3,800 00 Construction Type
MATTRESS CITY- ILLUMINATED
CHANNEL LETTER SIGN
0
NEW
Applicant
GRAFIKS ADVERTISING
13238POWAYRD
POWAY CA
92064
858-486-0493
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/03/2003
CB
04/03/2003
04/03/2003
Owner 1962 04/03/03 0002 01
VANDERBURG LIVING TRUST 08-22-90 CGP
150 N SANTA ANITA AVE #645
ARCADIA CA 91006
Building Permit
Add1) Budding Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$5349
$000
$3477
$000
$000
$000
$000
$000
$000
$8826
Total Fees $8826 Total Payments To Date $000 Balance Due:$88.26
PERMIT HAS EXPIRED IN ACCORDANCE WTTH U.B.C,
SECTION 106.4.4
DATE _.^W(OX SIGNATURE
PERMIT APPLICATION
•T f
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
T L.
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validated
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work SQ FT #of Stones
12^ll"CONTACT PERSQllftif'different, Iron? applicant)is. (TnrF
of Bedrooms # of Bathrooms
Name Address City
Mtractbr, j i BJ^Cgen'tVor Ga'htractoh ^(DlQwnjTiv, J^Di^gerk^or'O-^er
State/Zip Telephone ft Fax
Address City State/Zip Telephone
Name Address City State/Zip Telephone #
iCONTRA'Cf ORr
(Sac 7031 5 Business and Professions Code Any City or County which requires a permit to construct, after, 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 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 Sectiorj~7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fjve hundred dollars [$500J)
& P-f\ R-; ^5; A)D ^F/-T/.S; A^> 135^ feaao v ft>t * fcn PO-, Co.
Name --^ ,__—,/
State License * S7o 7) / h (O
Designer Name
State License #
'e. * ' i WORKERS^' COMPENSATION * T> J' t*"C
Address
License Class '
Address
'" ^ ill y^ ''•''-""' ' "' 'm' """;
, City ' (^""State/Zip,,,s*^ i i^ / i X\^7 ^ City Business License # U*^K
' ' t
City State/Zip
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Telephone
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Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
[~1 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 worker's compensation insurance carrier and policy number are
Insurance Company _Z—jP V"11~1 Yi Policy No C~\lsL) C O^~j /OJ / j)C<^Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
[~| 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 secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10fl,OOOi, in addition to the cost of compensation, damages as provided for m Section 3706 of trie Labor code, interest and attorney's fees~J / O j?}' ?
DATE "V ~" 5 ~& J>——
in agptio/i to tni
\ SIGNATURE / _^,^/j"/ "r^
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
Q 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)
n 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)
l~l 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 Q YES QNO
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 construction (include name / address / phone number / 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
number / 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 number / type
of work)
DATEPROPERTY OWNER SIGNATURE _ _
"COMPLETE THISiSECTfON FOR NON-BE SIDE WnXi:BUlLDING.PERMITS"ONLY ^/^^^ ?^t^^^\»£&* «* ** - « i ^"^ £ I1 K 'sH ^ K "I !i '> '' < 1C? 221^, * i€
Is the applicant or future building 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? Q YES Q NO
"ls*"the" applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES f~) NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9 ^'-APPLICANT, CERTIFICATION y> V/r^/ „,' P\ ,^ Jifi? ~l I* k ', *>X 'i!t>f<"<< ? il'AuJll fl ' ,t ^ ^ r r! !;^!Ir JU™* Jf "sLA ""i
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
„ 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 building or work
authorized by such permit is not commwicgdwithin 180 d
at any tirre after the work is comorencea for^pejfl^ojA
AJ-PLICAWS SIGNATURE f^S/fi ^ '^r'^' ^^~~C^ / /
s from the date of such permit or if the building or work authorized by suct
davs (Section 10^4 4 Uniform Building Code)
DATE
i| suspended or abandoned
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
July 18, 2003
Building Department
Permit Number CB030970
Issue Date 4/3/03
GRAHKS ADVERTISING
13238 POWAYRD
POWAY CA 92064
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: SIGN
ADDRESS: 2618 EL CAMINO REAL
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 9/30/03
.The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 building or work authorized by such permit is not commenced within-180 days-from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken No permit shall be extended more
than once
Please check below indicating your intentions and return this letter to us
Project abandoned A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days (attach a letter of explanation)
— Renewal permit requested
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725
If you have any questions, please contact the Building Inspection Department at (760) 602-2700
PAT KELLEY
Principal Building Inspector
1635 Faraday Avenue * Carlsbad, CA 92008-7314 • (760) 602-270O • FAX (760) 602-856O
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fax (61*)) 486-1886
Date-
Note This drawing is "In Scale" Signature indicates knowledge and approval of sizes, colors, spelling and
placement of all elements shown Any design changes after approval signature are subject to additional charge.
EXHIBIT A/B
SITE PLAN FOR THE SHOPPINGS CENTER
WITH PREMISES DEPICTED
2618BCam!noReol Carlsbad CA
Avcllabio
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C7 ADVERTlSINGfcSlGNS
619.486.0493
fax 619.486.1886
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13238 Poway Rd. Poway, Ca. 92064
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21255 CALM A SF WOODLAND fill LS CA w
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMATION PAGE
ITEM I
INSLRED
,VY,Mr AND
MAILING
ADDRESS
PHYSICAL
LOCATION
*-H
PRODUCER
091778A
100
ITEM 2
ITEM 3
ITEM 4
Renewal of Z047317301
CHRISTIAN J COTE
DBA GRAF1KS ADVERTISING
13238 POWAY RD
POWAY CA 92064
13238 POWAY RD
POWAY CA 92064
SUPERIOR ACCESS INSURANCE SERVICES, INC
3 WHATNEY - SECOND FLOOR
IRVINE CA 92618
The Policy Period is from 06/08/02 to 06/08/03 12 01 A M
A Workers Compensation Insurance Part One of the policy
siates listed here
CALIFORNIA
Policy Number C100 C0473 17302
DIRECT BILL
Policy Type SAFETY ASSOCIATION
Line NON-PARTICIPATING
Entity INDIVIDUAL
Billing Type STIPULATED
Frequency SEMI ANNUAL
FEIN 33-0077861
standard time at the msured's mailing address
Applies to the Workers Compensation Lav,
B Employers Liability Insurance Part Two of the policy applies to work in each stale listed in item 3 A
limits of our liability under Part Two are
Bodily Injury By Accident $ 1,000,
Bodily Injury By Disease $ 1,000,
Bodily Injury By Disease $ 1,000,
000 Each Accident
000 Each Employee
000 Policy Limit
of the
The
C Other States Insurance Part Three of the polity applies to the states if any listed here
All states except states listed in item 3 A and
NORTH DAKOTA, OHIO WASHINGTON, WEST VIRGINIA WYOMING
D See attached list for endorsements and schedules
The premium for this policy will be determined by our manuals of Rules, Classifications, Rates and Rating
Plans AM information required below is subject to verification and change bv audit
See endorsement WC -99-00-01 RATING SCHEDULE
Total Estimated Annual Premium $
Minimum Premium $
Deposit Premium $
1 432
1 250
1.283
Countersigned At Los Angeles 024 CA On 04/26/02 By
WC-OO-OO-OIA
(Ed 07-00)AGENT COPY Authorized Representative