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Home My WebLink About2618 EL CAMINO REAL; ; CB111264; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-13-2011 "' Sign Permit Permit No: CB111264 Building Inspection Request Line (760) 602-2725 Job Address: 2618 EL CAMINO REAL CBAD Permit Type: SIGN Status: ISSUED Parcel No: 1670307700 Lot#: 0 Applied: 06/13/2011 Valuation: $8,000.00 Construction Type: NEW Entered By: JANEAN Reference #: Plan Approved: 06/13/2011 PC#: Issued: 06/13/2011 Project Title: SPROUTS - INSTALL ONE ILLUM Inspect Area: WALL SIGN Applicant: Owner: SIGNTECH ELECTRIC ADV. VANDERBURG LIVING TRUST 08-22-90 C/0 HUGHES INVESTMENTS - MANAGER 4444 FEDERAL AVE P 0 BOX 8700 SAN DIEGO CA 92402 NEWPORT BEACH CA 92658 619527-6100 Building Permit $99.61 Add'l Building Permit Fee $0.00 Plan Check $64.75 Add'l Plan Check Fee $0,00 Electrical Fee $0,00 Renewal Fee $0.00 Add'l Renewal Fee $0,00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES ',. $164.36 Total Fees: $164.36 Total Payments To Date: $164.36 Balance Due: $0.00 FINAL APPROVAL Inspector: - f^**"^ — Date: _ 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 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 limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No.ftfc \ \ \ Est. Value Plan Ck. Deposit Pate SWPP JOB ADDRESS CT/PROJECT #LOT#PHASE # I # OF UNITS I # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NOO AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (It Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY ZIP PHONE FAX FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX PHONE CPtt FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS _— CITY BUS. (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: LTI 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. t)9 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 7>&W>£Ua&S Policy No. PJ U<3 fr JJ/PTZj')) Expiration Date H~l~ZQ)l. This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 (&100.000), in addition to the cost of compensation, damages as provided frtn'Gection 5706M Vrut Labor code, interest and attorney's fees. L^AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). O 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). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes d No 2.1 (have / have not) signed an application for a building permit 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, supervise 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): >£f PROPERTY OWNER SIGNATURE OAGENT DATE 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? n Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes n No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes a No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 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 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 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 stories 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 commenced within 180 days from the date of such permit or if the building or work authori^rJlsy such permit is §$pended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). (APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 09/07/2011 Permit# CB111264 Title: SPROUTS - INSTALL ONE ILLUM Description: WALL SIGN Inspector Assignment: 2618 EL CAMINO REAL Lot: 0 Type: SIGN Sub Type: Job Address: Suite: Location: OWNER VANDERBURG LIVING TRUST 08-22-90 Owner: VANDERBURG LIVING TRUST 08-22-90 Remarks: AM PLEASE Phone: 6199543665 Inspector: Total Time: CD Description 19 Final Structural 39 Final Electrical Act Comments Requested By: BRIAN Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments