HomeMy WebLinkAbout2081 FARADAY AVE; ; CB121184; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-22-2012 Sign Permit Permit No: CB121184
Building Inspection Request Line (760) 602-2725
Job Address:2081 FARADAY AV CBAD
Permit Type:SIGN Status:ISSUED
Parcel No:2121202600 Lot #:0 Applied:06/22/2012
Valuation:$6,000.00 Construction Type:NEW Entered By:RMA
Reference #:Plan Approved:06/22/2012
PC #:Issued:06/22/2012
Project Title:SKILZ -ALUMINUM SIGN ON WALL Inspect Area:
Applicant:Owner:
BIODEC L L C BIODEC L L C
P 0 BOX 230931 P 0 BOX 230931
ENCINITAS CA 92023 ENCINITAS CA 92023
760 815-2644
Building Permit $87.67
Addi Building Permit Fee $0.00
Plan Check $61.37
Add'l Plan Check Fee $0.00
Electrical Fee $0.00
Renewal Fee $0.00
Add! Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $149.04
Total Fees:$149.04 Total Payments To Date:$149.04 Balance Due:$0.00
Date:FINA
L APPROVAL
Inspector:VII 44'.41#14‘4 -a+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 permit was issued to protest imposition of these fees/exactions.It 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 tees/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
tees/exactions of which you have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
kain
THE FOLLOWING APPROVALS REQUIREd PRIOR TO PERMIT ISSUANCE:[]PLANNING [ENGINEERING DBUILDING [FIRE DHEALTH DHAZMAT/APCD
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Plan Check No.),Lz.//ez-/Building Permit Application
O.1635 Faraday Ave., Carlsbad,CA 92008 Est. Value 02-es2-a\*"CITY OF 760-602-2717 /2718 /2719
CARLSBAD Ste.Fax:760-602-8558
www.ca rlsbadca.gov
Plan Ck. Deposit
Vr___Date 6 id 121SWPPJOB ADDRESS SUITE#/SPACE#/UNIT#A N
iCAA "C •A--.
CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS
.
TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
U I t--4)k•--)(2 6.04...1
-2}-#.lt ?<4 9 LA)I O
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES 0 #_NO 0 YES 0 NO YES NO 0
APPLICANT NAME (Primary Contact)APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
(ifc4/2."3.01.41 1 a or'
CITY STATE ZIP CITY STATE ZIP
127/10 a 0
PHONE FAX PHONE FAX
s (4D 0
EMAIL EMAIL
i."1.I Sr‘i p-140.244e.C.D)-1\
PROPERTY OWNERSAME CONTRACTOR US. NAME
AMIGDeg }5 .==•Pe"c.
ADDRESS ADDRESS
O.g V7‹°-3 .1 714='Al 7J 0 57.--4*Q--.'
CITY STATE ZIP CITY STATE A ZIP„.„fns G°9 2.-c)<4'(1-1/44.z...s C.-14 2 o'tPHONEFAXPHONEFAX7(oC).2(..(/ETA .(..0 r Co .1 _.
1EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC.#STATE LIC.#CLASS CITY BUS.LIC.#'7 44 5-9 4-1-
(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 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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
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Workers' Compensation Declaration: / 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.
El 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 workers' compensation insurance carrier and policy
number are: Insurance Co.Policy No.Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
El Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
Ar$CONTRACTOR SIGNATURE ['AGENT DATE
,LARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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).
O 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).
O 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 0 No
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 / 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/contractors' license number):
5.Iwill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
ileSPROPERTY OWNER SIGNATURE °AGENT DATE
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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 0 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 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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.
STRUCTION 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 certifythat!have read the application and state that the above information is correct and that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building construction.
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 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 permitis not commenced within
180 days from the date of such permit or if the bui 'g or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
„leAPPLICANT'S SIGNATURE DATE
12-40
t-Acsst -E •
STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
(ER E OF 0 SC ra m
Fax (760) 602-8560, Email www.building@carlsbadca.00v 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
0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#...0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.i)o NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL/FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION
AeAPPLICANT'S SIGNATURE DATE
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JUN-22-2012 FRI 11:13 AM CITY OF CARSLBAD FAX NO.760 602 8558 P.02
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Plan Check Na.
Building Permit Application
1635 Faraday Ave.. Carlsbad.CA 92008 Est. Value
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(see. 7032.5 easiness and o Professions coda!
my City cr Count/ Which reoulren a permit toconstrulaiter, 'maga..iefnam ornerir ant
sTructure. lelde to its issurtnce. also requires the
tiegliWIfeorial ctrofelgnst.toldejO5ritrhstligega're" CitkerVeirlinnanturra:tge,,Zrellodn'.4.101411.;Aj.corroucitir 708 ray• 'aitrars;enrctinfir8 permit ° 0°01,1.1itroggra
civil pawky of not more than nye bummed donors sasomt.
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mews. commission tiontiossam ihereby affirm underwaycdMelonedote newleil decline:or
C3jev•and *IN maintainewill of consent to selhiesure formimecomperentere al POVIdedDVS6DOD.3700 of theLAMWit for the Pedermence of the work$01450 this Permh S Moan.
I have and 0111malmein workers'omponsation.a nowtbySecticelpriof tne 1.9:101.Code for the parkernanca of thewitforwrichtie peedis Issue(. kry
MOM' mmpereederprie mew
andpotty
INaarare:IOWA)Co.C:-i...D 3 r -f-•.e_e_:;____PdAdy yio._JO C ?b Cr /0CO41 (1.-Exreation Date.....;/i 13 a
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Thismien nerel not be completed hthepewitIs tor onoWetted dollen0100or !etc
0 Cordate ofExemption;Ievery OW in the ponormance of the work for which this permit is Issued,
Ishall notmom/any penum in any manner so as towpmwalletto YsMama Compensation Lave ot
I Caere&WARRING: FaRtrrelemom wa ,-' compertiadon coverage is noosing ti emit subject soereProYer 10aimingPoet*acidthil MmLIPto one herldrediw MAIM (MR
of
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I addle on to the cost of compeneation,...4.5provided f•In Se •... •of ./•code, intemet andAunty'teas.
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AS'CONTRACTOR Swum*a ?..„.A ;mow DATE to 13 I 2.—.
4. owodikrtrki IS t t..0 :L.M oEc -Ltkiirk riON
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iharsoy ettImi Shatlam reempt from CentratiOnLIOFIRSOLow for Me namingtame
CI I.es owner ottieproperly or my employees vrith wages 4thee sale Urrepeaselloe,Wel do :he work end teeet whirl itnot Intended orNNW:for sala (Sae. 7944. Wetness aidProllasions COclit The Contractor's
ricsrsi.Law pees not applyiopp owner of Roomy wh000pre5 or improves
tom and who dole such work himself ortrough Ns own employees, paraded tatsoch Improvements ate natIntended orWend lot
50.0 however.th. WillOgOf improvernemLSsoid within one year of omaidedon, the owner-builder will have tae Widen of
owingMat he did not build of improve Err illePION 05114
CI ssOV/1181 Ofdi.pr011efty.mn exchmider coora6n Atha:madcots
tocommot trinomial:I.(Sot7014,Buenas and PtOted$10116Codet TheCalleCtcet UMWLAwCOOS not apply to an owner of
property whOhags orimproves Mews.adcontracts forszhprojects with etrelnetOrMi Meese Pigment to theedltmtde51.1dora law).
Cl i am exempttoterSection ---„_BuSiness and PdgeMlans Code far tNt liALOO
1.1peMonallyIlan (0
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prtwele the 11130 ilits)( and magetale for rametrucdoe at the
PROW WPM/imPlevemeg 0Yes CI No
2.1thave Ihemoft 0onad an applcaion for a Wilding permit for the proposed work.
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3. I have canoes-red ludo therowing pawl Of m) to provide themowed onnsozion (indimname enthessIpticeetconiractorr:Ones needle*
4.IOM to recedeOohs tithe wok Twit have Med me following Amon incoordinate. supervise and provide rhe malaf wont (Include
rate i eddreseIphone I contrecsors'kenosnumbed:11
5.iWu rimy:16 soma of the wom.NI hawconpacted {hired) the following persons to provide the workWolfed (nctuae nattyi address i phone/ tWo of woetr
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ONINER4IGNATURE
MONT ATE
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TO/TO 39Vd N9IS3G W NEbIS 6V310 TZT89ELO9LT OE:TI ZTOZ/ZZ/90
...........,.
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Inspection List
Permit#:CB121184 Type:SIGN SKILZ -ALUMINUM SIGN ON WALL
Date Inspection Item Inspector Act Comments
07/19/2012 38 Signs RI
07/19/2012 38 Signs MC Fl 2ND STOP
07/19/2012 38 Signs MC CO 1ST STOP
Monday, July 23, 2012 Page 1 of 1
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