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Home My WebLink About2727 STATE ST; ; CB162913; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-27-2016 Sign Permit Permit No: CB162913 Building Inspection Request Line (760) 602-2725 Job Address:2727 STATE ST CBAD Permit Type:SIGN Status:ISSUED Parcel No:2030540300 Lot #:0 Applied:07/27/2016 Valuation:$1,700.00 Construction Type:5B Entered By:JMA Reference #:Plan Approved:07/27/2016 PC #:Issued:07/27/2016 Project Title:BABA COFFEE: NEW SIGN Inspect Area: Applicant:Owner: MARTIN DORIN&BILLIE REVOCABLE TRUST 01 -10-94 MARTIN DORIN&BILLIE REVOCABLE TRUST 01-10-94 P 0 BOX 546 P 0 BOX 546 FALLBROOK CA 92088 FALLBROOK CA 92088 760-710-7360 Building Permit $37.97 Add'I Building Permit Fee $0.00 Plan Check $26.58 Addl Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Addl Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $64.55 Total Fees:$64.55 Total Payments To Date:$64.55 Balance Due:$0.00 FINAL APFjC7/ ji Inspector://911 Date:z s/4.Clearance: NOTICE:Please take N CE approval of your project indudes the "Imposi on"off ,dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions."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 spedfied 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 riven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. .-.I. ., to THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[PLANNING []ENGINEERING OBUILDING EIFIRE EIHEALTH ElHAZMATIAPCD C •y of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.C 5/.alt 0CAEst. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbad.email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 1/2:7//k.SWPPP JOB ADDRE 7 7ST. SS ..----SUITEAVSPACEVUNIT#APN •—...V19-- —3/--- CT/PROJECT #LOY#PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP4- 3141.`C‘17C4 DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)k --4-1^-_ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE A ONDIT ING FIRE SPRINKLERS3YESDtNYESNO0YESDNO I . APPLICANT NAME LA:12)PROPERTY OWNERoy„.. srcgrii--- 164"Primary Contact /lA.-S1D'- ADDRESpo ..&:37(i.„:22.24.„3 ADDRESS ---r riki.N.........._ C118._ciA....331 4 74.5 S'LATE fijcs2..3.CITYc_..ii.i......../.;el.;12 - '",,/0 FAX PHONE FAX AE.1L4 ,7 EMAIL-)VC64.<tep CCC-;44 DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# (Sec.7031.5 Business and Professions Code: Any City or County which requiresa 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: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. ElI 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.Policy No.Expiration Date 11 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 ($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. RS.CONTRACTOR SIGNATURE 0 AGENT DATE OWNER -BUILDER DECLARATION I hereby affirm thatlam exempt from 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).DI,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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.ElYes ON° 2.I (have I 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.I will provide some of the work, butl have contracted (hired) the following persons to provide the work indicated (include name / address / phone I type of work): JE5PROPERTY OWNER SIGNATURE 1 AGENT DATE COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business pl-n, ac hazardous materials registration form or 'k management and prevention program under 'ns 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?El Yes Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qua'anagement district?0 Yes Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes o 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. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION I cenify thatIhave read the application and state thatthe aboveintimationis correct and that the information on the plans is accurate.Iagree to comply with all CM/ordinances and State laws relatingto building conshuction. 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 SIT deep and demolition or constru ion ofstructures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the pro "s shall expire by limitation and become null and void if the building or work authorized by such permitis not commenced within 180 days from the dateofsuch permit if th building or work autho 'such it'suspended or aban at any time after the work is commenoad for a period of 180 days (Section 106.4.4 Uniform Building Code). ./eAPPLICANT'SSIGNATURE I DATE STOP STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email bUilding@CaltbadCa.g0V or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#:(Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT(Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION ASAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB162913 Type:SIGN BABA COFFEE: NEW SIGN Date Inspection Item Inspector Act Comments 08/17/2016 19 Final Structural PY AP 08/17/2016 19 Final Structural PY AP 08/17/2016 38 Signs RI SIGN FINAL Thursday, August 18, 2016 Page 1 of 1