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Home My WebLink About2704 LOKER AV WEST; ; CB062939; Permit10-10-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB062939 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2704 LOKER AV WEST CBAD SIGN 0000000000 Lot #: $4,000.00 Construction Type: BANK OF AMERICA 3 ILLUM CHANNE LETTER SIGNS-2 ILLUM PANEL SIGNS 0 NEW Status: ISSUED Applied: 10/10/2006 Entered By: KG Plan Approved: 10/10/2006 Issued: 10/10/2006 Inspect Area: Applicant; COAST SIGN INC 1345ALLECST ANAHEIM, CA 92806 714-520-9144 Owner: Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $53.49 $0.00 $34.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $88.26 Total Fees:$88.26 Total Payments To Date:$88.26 Balance Due:$0.00 InspectoJL 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 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 Jees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date 1.0-} Q~ 0(0 A/V 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 SO. FT. SfcatSii*^^ £^S-Vxa #of Stories # of Bedrooms # of Bathrooms Name Address City Agent for Owner State/Zip Telephone # Fax # Address City Name Address City State/Zip Telephone # Si'iVqeiiriSJ^^ ••™»-":-\-zi.--*'-"L-..-•":::;•*•'• ' " - : ' ' <"-:~-.'«--:>':>:;h'"^Tl:X'-: ^^r^lllS-^'^ (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 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 [S500]). Name State License # Address License Class City State/Zip -fcity Business License # Tat Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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)QI 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 5*T"ifVXf= PU\ <^ _ Policy No. / 1 L ") ff? ^ _ Expiration Date 0^j - £$ "7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$100] OR LESS) Q 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 for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . s£^~~\~ --- 1— • — - - - ^- -- - ------- DATE /Q ' /O - O ^ 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). 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 contractors) licensed pursuant to the Contractor's License Law). n 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. O 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): _ _ __ _ r _ 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): _ ___ _ _ _ PROPERTY OWNER SIGNATURE DATE NO SECTION^^^ f:'<i.i&$--*2\:^,&f^ 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? D 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. «.i>;CON!STRUCTION LENDING AqENCY/. •>•',..;; „ -' '.: .. " - ! - •'. ' /. . •• .. ;'^'..-, &:,,. ::>;..,;.;^:V;. ; :, >,. ...,-;.-••;. --,-'.;-;. I 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 ^{w«(f»^ :,.:•£;.; ,,, , :;:;-..-•_.;. • ;:; :^;; ^^••^^^ 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 CitV 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 data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is compwnyed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE /O -/a YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/08/2006 Permit* CB062939 Title: BANK OF AMERICA 3 1LLUM CHANNE Description: LETTER SIGNS-2 ILLUM PANEL SIGNS Inspector Assignment: Sub Type: 2704 LOKERAVWEST Lot 0 Type: SIGN Job Address: Suite: Location: APPLICANT COAST SIGN INC Owner: Remarks: Phone: 7604279632 Inspector: Total Time: CD Description 38 Sins Act Comment Requested By: NA Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments COMPENSATIONINSURANCE FUND CERTHOLDER COPY SP P.O. BOX 420807, SAN FRANCISCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04-12-2008 GROUP: POLICY NUMBER: 1767899-2006 CERTIFICATE ID: 305 CERTIFICATE EXPIRES: 04-01-2O07 04-01-2005/04-01-2007 CITY OF COSTA MESA SP JOB:PERMITS 77 FAIR DR COSTA MESA CA 92626-6520 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subjaet to cancellation by The Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This eertifjcata of insurance is not an insurance policy and doss not amend, extend or liter the coverage afforded by tha policy listed herein. Notwithstanding any requirement, term or condition of any contract or otter documentwith respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to ail the terms, exclusions, and conditions, of such policy, \£UTHORIZeD REPRESENTATiVCO PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,OOO PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE O4-01-2OO4 IS ATTACHED TO AND FORMS A PART OF THIS POLICY,. EMPLOYER COAST SIGN, INC DBA: ATM IMAGES SP 15QQ W EMBASSY ST ANAHEIM CA 92802 (REV 2"05l Pi [B13.SP] PRINTED : 04-12-2006