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Home My WebLink About2804 ROOSEVELT ST; ; CB071971; PermitCity of Carlsbad , ' 1635 Faraday Av Carlsbad, CA 92008 07-10-2008 Sign Permit Permit No: CB071971 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2804 ROOSEVELT ST CBAD SIGN 2031820400 $1,000.00 Lot#: 0 Construction Type: NEW CARLSBAD COASTAL MEDICAL SIGN 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 949-458-1000 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: Fl NA~..-, .. ,u JIJH"/ Inspector, Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpo 1tion' o ees, 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 lhe 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 3ny subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that yourright to protest the specified fees/exactions DOES NOT APPLY to wale. ,md sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this pro1nct. NOR DOES IT APPLY to any f n i n N Tl hi r f Ii i i n' h I City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 '760-602-2717 I 2718/ 2719 Fax: 760-602-8558 Building Permit Application DDRESS~ T# Plan Check No. C Est. Value ~ Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# A~ _ # BEDROOM # BATHROOMS TENANT BUSINESS NAME ~~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) #_ NOD AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ CONTACT NAME (ff D/frerent Fom App/leant) APPLICANT NAME ADDRESS ADDRESS ~to CITY STATE ZIP CITY PHONE EMAIL CITY 0 (lee. 703 I.S Businus and Professions Code: Any Ci1y or County which requires a permit 10 con11ruc~ alter1 improve. demolish or rtP.air any structure, prior to iu issuance, also requires the applicant for such permit to file a signed naiement thal he is t.censed J)Ufluan1 10 lhe provisions of the Con1rac1or'1 Licem l,w {Chap1er 9, commending wilh S.e1ion 000 of Division l of 1he Business and Proressions Code} or that he is exempt there~om. and the ba111 for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjem the applicant 10 a civil penalty of not more than five hundred dollars (SSOD}). 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. f have and will maintain work.!J' ~o_ml)~nsat/qn, as required by Section 3700 of the Labor Code, for the performan~ of the )'.O~o which t is p rmit is issued. My workers' compensatio~~urf n.:8 ca:Pr and policy number are: Insurance Co. ~t:::1\/ tTb Policy No. L.CJW"J O Exp,rat1on Date ~ -a~ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, f shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sec e rkers' com en sat' overage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d f ·n S lion 3706 of the Labor code, interest and attorney's fees. _2$ CONTRACTOR SIGNATURE 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 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 Protessions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to lhe Contractor's License Law). □ ~no □Yes f\ I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. 2. I (have / have not) signed an application for a building permit tor the proposed work. 3. I have contracted wilh the following person (firm) lo provide the proposed conslruction (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. I will 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): fs the applicant or future building occupant required to submit a business ~ _acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes (JIJ.iJ'IO fs the applicant or future building occupant required to obtain a permit from the air pollution control district or ~i ality management district? □ Yes 't!i}4o . Is the facility to be constructed within 1,000 feet of the outer boundary or 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 f 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 bu If ding construction, lhefeby 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: AA OSHA penmtt is required for excavations c:Ner 5'0' deep and demolition or consbuction of sbuctures c:Ner 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall exp~e by limitation and become null and void if the building or work authorized by such permtt is not corrvnenced v.ithin 180 days from the date of such penmitor if the building or · ed ti ch permtt is sus ed or aband at any tine after the work is coovnenced for a period 180 days (Section 106.4.4 Unifonm Building Code). APPLICANT'S SIGNATURE DATE 0 City of Carlsbad Bldg Inspection Request For: 07/11/2008 Permit# CB071971 Title: CARLSBAD COASTAL MEDICAL SIGN Description: NO ELECTRIC Type:SIGN Sub Type: Job Address: 2804 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: L Requested By: DAVID Entered By: JANEAN