Loading...
HomeMy WebLinkAbout2711 LOKER AVE W; ; CB041225; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 'o4-08-2004 Sign Permit Permit No: CB041225 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2711 LOKER AV WEST CBAD SIGN Status: Parcel No: 20908121 00 Lot #: 0 Applied: ISSUED 04/08/2004 SB 04/08/2004 04/08/2004 Valuation: $80.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: AXEUS 8 SF NON ILLUMINATED WALL SIGN STANFORD SIGNS INC 2556 FAIVRE ST. CHULA VISTA, CA 91911 619-423-6200 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 Plan Approved: Issued: Inspect Area: Owner: PACIFIC STARR ESSEX-CARLSBAD LL C C/0 JOHN F PIPIA 650 SIERRA MADRE VILLA AVE #100 PASADENA CA 91107 $12.93 $0.00 $8.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21.33 Total Fees: $21.33 Total Payments To Date: $0.00 Balance Due: $21.33 9566 04/08/04 0002 01 02 CGP 21.-33 FINAL APPROVAL DATE ~J"-/o"t CLEARANCE __ _ SIGNATURE~ PERMIT APPLICATION FOR OFFICE USE ONLY Z z_ /"' PLAN CHECK NO. C ~t..( ( S . CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~ce=) EST.VAL. _____ ~~~~-- Plan Ck. Deposit--=-------- Validate(r,y ,,7\~ e. . Date t-L~/~=-' µ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II ~Description of Work llof Stories II of Bedrooms II of Bathrooms Address City State/Zip Telephone II Fax II 0 Agent for Con~or O Owne Agent for Ow_.!!er ;i?,ac,fio Sftloc::::tSSe>4 u(oop l,..(...C, ~t1$(1QQ1t1J.?-: G4. "ll{(J7 Address City State/Zip Telephone II Address City State/Zip Telephone II [6. CON'(BACTOfb CPMPAIU..NAM! (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 hundr d Ila s ($ 001). '"' (i Desig er Name Address City State/Zip Telephone State License II >,J/,A: • di, WORKERS' C~PENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. "6<(' 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 ~d. My worker's compensation insurance carrier and policy number are: t) Insurance Company 6\::tttc s::'()qcl • Policy No. 41~1'5 •O} Expiration Date s '"5 • '5 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 aecure workers' compenHtlon coverage la unlawful, and ahaU subject an employer to crfmlnal panaltlea and civil fines up to one hundred thousand doll.er. a ($100, 00), addition tot o compen atlon. damages•• provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE -=_4..__·~8~· ()~'-/:!:----::::=----..---- 7. OWN£ . :JIQN,.;.....;;.;.;....;.;,;,.;.;.;.;....;..;..~___;.;; I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 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 I address I phone number 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 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------------------------DATE __________ _ [COMIY!I; THIS SECTIQN FOR NON-RESIDENTIAL BUILDINQ PERM!TS ONLY 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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. ~"",._J.ONSIR~LEN==.,D=l=NG.,,_.,A=G=EN""""'Y'--__.~~~---~---~~~-----~~-~· 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). 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C(?NSEQUENCE 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 authorized by such permit is suspended or abandoned "v at any time 'lfter the work is comme c d for a peri of 180 days Section 106.4.4 Uniform Building Code). /} APPLICAr. S SIGNATURE DATE ---,1,__·,ff--·di,....:.q_. ______ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/18/2004 Permit# CB041225 Title: AXEUS 8 SF NON ILLUMINATED Description: WALL SIGN Type: SIGN Sub Type: Job Address: 2711 LOKER AV WEST Suite: Lot Location: APPLICANT STANFORD SIGNS INC Owner: Remarks: Total Time: CD Description 38 Signs 0 Act Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607366070 Inspector: .I!-- Requested By: RITCHIE Entered By: CHRISTINE