HomeMy WebLinkAbout2812 ROOSEVELT ST; ; CB071978; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-10-2008 Sign Permit Permit No: CB071978
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2812 ROOSEVELT ST CBAD
SIGN
2031820400
$1,000.00
Lot#: 0
Construction Type: NEW
PRONTO MARKET-2 NEW SIGNS
NO ELECTRIC
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/26/2007
JMA
07/27/2007
07/27/2007
PROMOTIONAL SIGNS. INC ROOSEVELT TAMARACK INVESTMENTS LP
20361 HERMANA
LAKE FOREST CA 92630
949-458-1 000
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
6 VENTURE #215
IRVINE CA 92618
$21.33
$0.00
$13.86
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.19
Total Fees: $35.19 Total Payments To Date: $35.19 Balance Due:
Inspector:
FINA
Date: Clearance:
$0,00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations. •Jr 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 !nformation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will ba" ·¾ny 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 ;:ind 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
f . h h I imil r hi i h f limi i n ~-
City of Cc;arlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718/ 2719
Fax: 760-602-8558
Building Permit Application
Est. Value
Plan Ck. Deposit
Date
APN
TENANT BUSINESS NAME CONSTR. lYPE
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE
EMAIL
ADDRESS
CITY
PATIOS (SF)
APPLICANT NAME
NO D
AIR CONDITIONING
YES □ NO □
ADD~t:xo ~~-
CITY STATE ZIP
FIRE SPRINKLERS
YES □ NO 0
0
CLASS CITY BUS. UC.# \ ~~~~~~~L _ _LL.LJo_ _ _J_~-~~>:.1/2f_ __ ~C~-4!_;52...._l ___ fil~fA
/ltc. 7031.5 Business and Professions Code: Any City or County which roquim a permit to conuruc~ aher1 improve. demolish or rtP.air any uructure1 prior to its issuance, also requim the applicant for such permit to file a signed staiement that he is ricensed JlUrsuant to the provisions of the Contmtor's licens, law {Chapter 9, commending with ltction 000 of Division J of 1h1 Business and Pro,essions Code) or that he is exempt therefrom. and the ball! for the alleged mmption. Any violation of Section 7031.S by any applicant for a permit sub~m the applicant to a civil penalty of not more than five hundred dollars (SSDO)).
Workers' Compensation Declaratfon / 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.
I have and will maintain worke_ '_s.o_ml) nsa . n, as required by Section 3700 of the Labor Code, for the performani of the :tt,ork for which is p rmit is issued. My workers' compensalio~nsur;nce canier and policy
number are: Insurance Co. t:tV · Policy No. Cw"J O Expiralion Dale ~ -_ -Of:,
This section need not be completed if lhe permit is for one hundred dollars ($100) 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 sec e fers' com ensar overage Is unlawful, and shall subject an employer to criminal penaltfes and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, d a s as prov f ·n S lion 3706 of the Labor code, Interest and attorney's fees. .
_g CONTRACTOR SIGNATURE ' DATE 7 ~4 l)' --,,..,,====~=~~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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 Contractors
License Law does nol apply lo an owner of property who builds or improves thereon, and who does such work himself or lhrough his own employees, provided lhal such improvements are not intended or offered for
sale. If, however, the building or Improvement is sold wilhin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for lhe purpose of sale).
□
□
I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects wilh contractor(s) licensed pursuant lo the Contractors 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.
2. I (have I have not) signed an application for a building permit for the proposed work. □Y~ i
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone/ conlractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinale, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, bul I have contracted (hired) the following persons lo provide the work indicaled (include name /address/ phone / type of work):
Is the applicant or fulure building occupant required to submit a business ~ _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 ~o
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or ~i ality management district? □ Yes 'fl;,1o .
Is the facility lo be constructed 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 U ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above lnfonnation 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.
Lhereby authorize representative of lhe City of Carlsbad to enter upon lhe 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 VvHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavations <:Ner 5'0' deep and demolition cr construction of strucb.Jres <Ner 3 stories in height.
EXPIRATION: Every peimit issued by lhe Building Official under the provisions of this Code shall expire by limitation and become null and void W the building cr work authorized by such permit is not commenced wilhin
180 days from the date of such permit or ff the building cr~,~ b ch permitissu~ ed orabandm at anytime afterlhework iscoomencedfor apeood f 180 days (Section 106.4.4 Unfform Building Code).
APPLICANT'S SIGNATURE ~ ,7 A...1,,...,.___ DATE 7 / 1,, 'C IO 7
m City of Carlsbad Bldg Inspection Request
For: 07/11/2008
Permit# CB071978
Title: PRONTO MARKET-2 NEW SIGNS
Description: NO ELECTRIC
Type:SIGN Sub Type:
Job Address: 2812 ROOSEVELT ST
Suite: Lot: 0
Location:
OWNER ROOSEVELT TAMARACK INVESTMENTS LP
Owner:
Remarks:
Total Time:
CD Description
19 Final Structural
~Comments
-----~· ------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 9493222052
Inspector:
Requested By: DAVID
Entered By: JANEAN