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Home My WebLink About2875 LOKER AV EAST; ; CB062419; Permit08-23-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB062419 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2875 LOKER AV EAST CBAD SIGN 2090831000 Lot#: 0 $1,500.00 Construction Type: NEW SAFETY SYRINGES NON-ILLUMINATE WALL SIGN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/23/2006 KG 08/23/2006 08/23/2006 Applicant: INTEGRATED SIGN ASSOCIATES Owner: TECHBILT CONSTRUCTION CORP 1160 PIONEER WAY EL CAJON, CA 92020 619-579-2229 P O BOX 80036 SAN DIEGO CA 92138 Building Pernnit 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 $29.73 $0.00 $19.32 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $49.05 Total Fees: $49.05 Total Payments To Date: $49.05 Balance Due: $0.00 Inspector: FINA Date 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 pennit 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 oreviouslv otherwise expired. PERMIT APPUCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORM^iTION ^^T^ > ^ „ ^ . FOR OFFICE USE ONLY ^ PLAN CHECK \\oL\hlXPJ^^ If EST. VAL./r> Plan Ck. Deposi ValidateekjBy Date_2pz^ Business Name (atihis addiess) O Address (Include BIdg/Sulte #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel U Existing Use Proposed Use • Description ,o| Work , \ ., v su. r i. CONTACT PERSON (if different from appliWt) SQ. FT. #Qf Stories It of Bedrooms tt of Bathrooms Name Address City i3. APPLICANT • contractor Q^gent for Contractor :El'Owner • Agent for Owner State/Zip Telephone tt Fax « Name 4. PROPERTY OWNER Address City State/Zip Telephone tt Name Address City State/Zip Telephone tt 5. CONTRACTOR - COMPANY NAME ' (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 ijB; Si WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 corppensation insurance carrier and policy number are: , \ i T-- O-—H i 1 1 / Insurance Companypm-mnrn X'^'XCXW^. C H . Policv H^\^^ Vt'6)l\l oU? Expiration Date_\S)pUll£_ (THIS 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 ona hundred thousand dollars |&100.0pO). in add/tion to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE CJL ti nio (Atr/,^ DATE %n'^fto 7. OWNEWfil/lLDER DECLARATION;^^,. I hereby affirf»-<nat I am exempt from the Contractor's License Law for the following reason: d] 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). • 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). • 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. 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 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):_ 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 iCPMPLETE THIS SECTION FOR /VO/V-flfSWfiVrWi BUILDING PERMITS 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? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. 8. CONSTRUCTION LENDING AGENCY li I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION \ 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 S'O" 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 at any time after the work is comrnpnced for a period of 180 days (Section 106.4.4 Uniform Building Code). ] APPLICANT'S SIGNATURE <d{\tlj j Wl-/.-^ DATE _^ C"I CjafcHTE: File YELLOW: Applicant PINK: Finance Oil City of Carlsbad Bldg Inspection Request For: 09/29/2006 Permit* CB062419 Title: SAFETY SYRINGES NON-ILLUMINATE Description: WALL SIGN Inspector Assignment: 2875 LOKER AV EAST Lot 0 Type: SIGN Sub Type: Job Address: Suite: Location: OWNER TECHBILT CONSTRUCTION CORP Owner: TECHBILT CONSTRUCTION CORP Remarks: SEE TOM ON JOB SITE Phone: 6198431411 Inspector: Total Time: CD Description 38 Signs omment Requested By: PATRICK Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments INTEGRATED SIGN ASSOCIATES 1160 Pioneer Way, Suite M, El Cajon, California 92020-1944 www.isasign.com | 619.579.2229 fax 619.579.7651 August 23, 2006 To Whom It May Concern, I hereby authorize Ms. Jaqueline Steffen to act on my behalf in obtaining permits, city licenses or any other related documents connected with sign, building and electrical permits. Ms. Steffen is authorized to sign any related documents on my behalf. I am properly licensed in the State of California. State Contractor's License number is 440828 {C45) (C10). ThankYpu, Steven A. t^ppinger LicenseddBontractor State of California County of San Diego On this tenth day of January, 2006 Steve Clippinger personally appeared before me, who is personally known to me to be the signer of the above instrument, and he acknowledged that he signed it. " JOE LOQRASSO J, COMM. #1383606 Q NOTARY PUBLIC - CAUFORNIA r\ SAN DIEOO COUNTY My Comm. Explrw Nov 8.2008 4 _Joe L. Lograsso Notary Public, State of California Commission Expires November 5, 2006 visual communications for a changing world