HomeMy WebLinkAbout2744 CARLSBAD BLVD; BLDG 10; CB062781; Permit09-29-2006,
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB062781
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2744 CARLSBAD BL CBAD
SIGN
2031722701 Lot #
$10,000 00 Construction Type
BLDG10 CLOCK TOWER SIGNS
HORIZONTAL SIGN
0
NEW
Applicant
SIMONS JOHN&MAUREEN
2744 CARLSBAD BLVD #209
CARLSBAD CA 92008
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/29/2006
JMA
09/29/2006
09/29/2006
Owner
SIMONS JOHN&MAUREEN
2744 CARLSBAD BLVD #209
CARLSBAD CA 92008
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
$9969
$000
$64 80,
$000
~$000
' $000
$000
- $000
$000
TOTAL PERMIT FEES $16449
Total Fees $164 49 Total Payments To«Date $16449 Balance Due.$000
Inspector
FINAL APPROVAL
Date 2*//*>/* 7 Clearance
NOTICE Please take NOTICE thfffapproval of your project includes the "Imposition1 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
fees/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
INFORMATI
FOR OFFICE USE ONLY
PLAN CHECK NO/ '
EST VAL
Plan Ck Deposit
Validated By O I
Date_
Address (include BJdg/Suite ft Business Name (at mis address)ttfiis
Legal Description Lot No -,Subdivision Name/Numberie/NL Unit No Phase No Total # of units
Assessor's Existing Use Proposed Use
Address City State/Zip Telephone #Name
6' ^CONTRACTOR = COMPANY-NAME ' «' tf 'I ^V! " •' '-"S' P " * Ii.," '^' ',7' TV ( -" J I * X « : >> (. ""?'' ^ ri ^ II' ! 1T *"' <UJ T 1^5 I,* " j „ *
(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
IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basts 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 [5500])
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name
State License #
Address City State/Zip Telephone
,6 „, IWORKERS'.COMPENSATION ' a!^!<. ^^' ,' ! -> ?'„/ ", ' L '"'^wTl J ui^j"^ '' TL ,'r*.«« J '- ''I.' ' 1^""'? ?' "^""iV-" C " *' ->'<' ^'^,»
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
C] 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
Q 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 ___ Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100] OR LESS)
D 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 ___ _____ DATE
7. DOWNER-BUILDER DECLARATION |V 'L !&,!/'''-»'•'•_, l,^*/"^ ,. „"£"-"'•< **> , !•" ' t^t ,,\& ' .&T '"'V"™ "rN , *!? I* XJr *'\ &^ ,-^
\l hereby affirm that I am exempt from the Contractor's License Law for the following reason
J3C '• as °wner 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)
D I am exempt under Section Business ami Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q 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 Ivcense 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) tf
5 I will provide some of the worjt, but
of work)
erconcontracted thiiefn thetollowingpejsons Jo provide the work indicatejUir e narne> address / phone number / type£•—-
PROPERTY OWNER SIGNATURE
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 NQ//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 ^"fsJ^NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES y@ 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 AJR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) *
LENDER'S NAME _^^_ LENDER'S ADDRESS
>Q ,,^ A DPI lf*AMTVf*COTICIJ"IATIJ"IIJf I T. ' ' ^ ^ '"', , * ('*••'•'"• ' s *.•*'£ , , ,~ , ^ ( ' ' r • j ,* • U' ' > s . ^^r *& r < r" , *> &-- K -s -•'«; s- ,,(•:>',v "J*^rrW**™'*H"''»-**(iriVj'MUJP( uf,' , . J;'^ :& _ H , £ f,^ ; ; •'' -,. '\ , , • ' ' I -^ ,A "> XK r - ( | '- , •- ' : • ,J ^ ^ ?" s, /• ( ?*
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 commengeswlhin \m days frorr^he date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is coiqriienMCrior a; perio^bf 18j3 datfs^Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE /""''/^(/Ml<%^^ DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 02/13/2007
Permit# CB062781
Title BLDG 10 CLOCK TOWER SIGN &
Description HORIZONTAL SIGN
Inspector Assignment PY
2744 CARLSBAD BL
Lot
Type SIGN Sub Type
Job Address
Suite
Location
APPLICANT SIMONS JOHN&MAUREEN
Owner
Remarks
0
Phone 3109250155
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
<.
39 Final Electrical
49 Final Mechanical
Requested By GREG
Entered By CHRISTINE
Act Comment
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
& Inspection History
Date Description Act Insp Comments
02/09/2007 17 Interior Lath/Dry wall PA PY COMPLETE DRYWALL AT 3RD FLR W/2 J BOXES
02/09/2007 19 Final Structural NR PY
01/17/2007 <34 Rough Electric AP PY