HomeMy WebLinkAbout2735 PALOMAR AIRPORT RD; ; CB143436; Permit12-09-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB143436
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
2735 PALOMAR AIRPORT RD CBAD
SIGN
2132621100 Lot#: 0
$3,000.00 Construction Type: 5B
STAYBRIDGE: INEW ILLUM SIGN
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/09/2014
JMA
12/09/2014
12/09/2014
Applicant:
MATTHEWS SIGNS INC
Owner:
ALPS INNOVATION LLC
550 W 6TH AVE
ESCONDIDO CA 92025
858 435 0822
621 S HIGHWAY 101
SOLANA BEACH CA 92075
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
$52.45
$0.00
$36.72
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $89.17
Total Fees: $89.17 Total Payments To Date: $89.17 Balance Due: $0.00
Inspector:
PPRfOVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" tf 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 Seciion 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 attacl<,
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/exaytions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othenvise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPUNNING nENGINEERING nBUILDING jZlFIRE DHEALTH nHAZMAT/APCD
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C3 N-*?>^3h
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 2735 Palomar Airport Rd SUITE*/SPACE*/UNIT«
213 62 11 00
CT/PROJECT #
1
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
Staybridge Suites
CONSTR. TYPE
DESCRIPTION OF WORK: /nc/ude Square Feet ofAmetai Ana(a)
Install (1) set of illuminated channel letters. 67.10
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NOr~|
APPUCANT NAME
Primary Contact Pat Brady/Matthews Signs Inc PROPERTY OWNER NAME Siddharth Gandhi
ADDRESS 550 W. 6th Ave ADDRESS
2735 Palomar Airport Rd
CITY Escondido STATE CA ZIP 92025
CITY Carlsbad STATE CA ZIP 92009
PHONE (858)435-0822 FAX PHONE (858)342-7430 FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Matthews Sians Inc
ADDRESS ADDRESS 550 W. 6th Ave
CITY STATE ZIP CITY
Escondido
STATE
CA
ZIP
92025
PHONE FAX PHONE
(858)435-0822 FAX
EMAIL EMAIL
951207 C-45
CITY BUS. LIC.#
1238882
(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 Ave hundred dollars ($500)).
WORKERS' COMPENSATION
Worktrt' Compwisatlon Dtdaration: / heieby affirm imder penalty ofpeijury one ofthe folowing declaralions:
LJ I have and wil maintain a ceitificat* of consent to Mlf-in<ur« for worlters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit Is issued.
Ull I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the wori( for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co. Swuroly National PoU^y No. S*KmtM7 Expiratkm Date ^
Bsection need not be completed if the pennit is tor one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the performance of the work fbr which this pemiit is issued, I shaH not empk)y any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure worken' compensation coverage Is unlawful, and shall subject an emptoyer 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 attomey's fees.
^CONTRACTORSIGNATURE V^^^O'^r^^fc,*'^---^ • AGENT DATE ^A*-^
O W N E R - B U i L O E R O E C A R A T I O N
/ hereby affirm Ihat I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my empkiyees with wages as their sole compensatkm, will do the work and the stnicture is not Intended or offered fbr sale (Sec. 7044, Business and Professions Code: The Contractor's
Lk»nse Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or through his own empkiyees, provkled that such improvements are not intended or offered for
sale. If, however, the building or improvement is sokl within one year of completion, the owner-builder will have the burden of proving that he dkl not bulk! or improve for the purpose of sale).
I I 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 buikJs or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
• I am exempt under Sectkin _ .Business and Professions Code for this reason:
1.1 personafly plan to provide the major labor and materials fbr constnictkm of the proposed property ImprovemenL •Yes
2.1 (have / have not) signed an applKatkm fbr a bulMing pemiit for the proposed vrork.
3.1 have contracted with the folbwing person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provkie portkxis of the work, but I have hired the folkwing peison to coordinate, supen/ise and provkie the major worit (inckide name / address / phone / contractors' license number):
5.1 will provkle some of the worit, but I have contracted (hired) the fblkiwing persons to provide the worit indicated (include name / address / phone / type of worit):
jS^PROPERn OWNER SIGNATURE iGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING PERMITS ONLY
Is the applicant or future buikling occupant required to submit a business plan, acutely hazardous materials registration fbrm or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future buikling occupant required to obtain a pennit from the air polkition control district or air quality management district? Yes No
Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT 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 constnjctkxi 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 oettl^ that I have lead the apphartkm ami state that the above information is coirect and that the i^^
I heieby authorize representative of the Cily of Cartsbad to enter upon the above mentkmed pioperiy for inspeclkin puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiK Is lequiied for excavatkxis over S'O'deep and demoitkin or constnjdnn 0^
EXPIRATION: Eveiy pemnit Issued by Ihe BuUIng Offcial under the pioviskins of Ihls Code sh^
180 days fiom tfie date of such pennt or if the building or worit authorized by such penriit is suspended or
APPLICANT'S SIGNATURE DATE
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 buildina(g)carlsbadca.QOV or Mail the completed form to City of Carisbad, Building DIvlsnn 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CiTY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS. UC. No.
DELIVERY OPnONS
PICKUP: CONTACT (Listed above) OCCUPANT (Usted above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Usted above) (X;CUPANT (Usted above)
CONTRACTOR (On Pg. 1)
MAIL/FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
veTAPPLICANTS SIGNATURE DATE
Inspection List
Permit*: CB143436 Type: SIGN STAYBRIDGE: 1NEW ILLUM SIGN
Date Inspection Itein
01/16/2015 38 Signs
01/16/2015 38 Signs
01/16/2015 39 Final Electrical
01/16/2015 39 Final Electrical
Inspector Act Comments
Rl
SP AP
Rl
SP Fl
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