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Home My WebLink About2634 EL CAMINO REAL; ; CB021110; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-11-2002 Sign Permit Permit No: CB021110 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: :CON lli. 9654 ARROW RTE Buildin!J Inspection Request Line (760) 602-2725 2634 EL CAMINO REAL CBAD SIGN Lot#: 0 1670306800 $2,192.00 Construction Type: NEW BRIGHT HORIZON (3) WALL MOUNT SIGNS NON ILUM · Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: HARRIES JOHN E JR&CASSIE T P O BOX 420067 1'1ANCHO CAUCAMONGA CA 91730 909-4900 SAN DIEGO CA 92142 ISSUED 04/11/2002 JM 04/11/2002 04/11/2002 Total Fees: $75.55 Total Payments To Date: $0.00 Balance Due: 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 $45.79 $0.00 $29.76 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $75.55 $75.55 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 firom 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~~· PROJECT INFORMATION V-~ Co3 ':t (.,\ Address (include Bldg/Suite #J Legal Description Assessor's Parcel # ,Res~tion of Work -,..> -\-~ ~"' °" '\ Lot No. Subdivision Name/Number Existing Upe CJ,..~\ d !?,. ed. ~\ \ SO. FT. ...l,.._ \:>~ \..) "\\ #of Stories ~ •'<o~~ FOR OFFICE USE ONLY AN CHECK NO. Cf3oZ/(/() -) 2/fi-/ Plan C . Deposit._,.,------+--r--- Validated By_~...:..::::J.--+74~-+._,,.,.. Date ________ ---/--/-.jL../,,;£-~12:~ Unit No. Phase No. Total # of units Pro~osed Use C"'-t\ A a. ea( # of Bedrooms # of Bathrooms 2. NTACT PERSON (If different from appUcentl ~~~c..s...__..-'=-4-0::....i,o~...!..IJ;~~~~.-.i-'C.__........:.....;~.__==~~~-~"-=--C)-=--=--~--.u...,;~,=...,."--_i._-=-_.c.._.___.L..J.J,,'r Name City State/Zip Telephone # Fax # 3. APPLICANT O Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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 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 Any iolation of Section 7031.5 by any applic t for a permit subjects the applicant to a civil penalty t more than five ndred dollars ($5001). State License # ', '1 (. ') Z I 6. WORKERS' COMPENSATION ~ ·~, License Class ---'( ___ '1,__ .... L ____ _ Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. · D 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 insurancl.:~~i;r and policy number are: Insurance Company 2un,'c."" ~en.....t'c ~~ PolicyNo.l, C: 4'(,;, ).lCj./,L Expiration Date 1:-2e-Q3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI 0 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 end civil fines up to one hundred $100,0001, · addition tot cost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE DATE Lj -\ \ '0 A 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 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). 0 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 Lawl. 0 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. 0 YES ONO 2. I (have I have notl 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 I address I phone number I contractors license numberl: 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 number 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 number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES O 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME---------------LENDER'S ADDRESS_~--~-----~---~~-~~~~~~-- 9. APPLICANT CERTIFICATION 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 Citt 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 ANO 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 lhis Code shall expire by limitation and become null and void if the building or work aulhorized by such permil is not commenced wilhin 180 days from lhe dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co~for::~d of 180 dat (Section 106.4.4 Uniform Building Code). \cAPPLICANT'SSIGNATURE ~~~~ DATE ft -( f -C) :)..__ WHITE: File YELLOW: Applicant PINK: Finance City of C:arlsbad Bldg Inspection Request For: 09/18/2002 Permit# CB021110 Title: BRIGHT HORIZON Description: (3) WALL MOUNT SIGNS NON ILUM Type:SIGN Sub Type: Job Address: 2634 EL CAMINO REAL Suite: Lot 0 Location: APPLICANT ICON Owner: HARRIES JOHN E JR&CASSIE T Remarks: Total Time: CD Description Act Comments 38 Signs Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: /IF Phone: 7604347143 Inspector: I( f Requested By: MICHAEL Entered By: CHRISTINE