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HomeMy WebLinkAbout2810 ROOSEVELT ST; ; CB071977; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-10-2008 Sign Permit Permit No: CB071977 Job Address: Permit Type: Parcel No: Valuation. Reference#: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2810 ROOSEVELT ST CBAD SIGN Lot#: 0 2031820400 $1,000.00 Construction Type: NEW. WILKINSON DESIGN GROUP 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: Inspector: FIN Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmpo ition' of s, 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 crnd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proj~ct. NOR DOES IT APPLY to any City .of Carlsbad 1635 Faraday Ave:, Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN # BATHROOMS ONSTR. TYPE OC . GROUP EXISTING USE PROPOSED USE CONTACT NAME (H Different Fom App/leant) ADDRESS CITY STATE PHONE FAX EMAIL ADDRESS GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME ZIP CITY FIREPLACE YES □#_ NO □ AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YES □ NOD CITY STATE -:1_12,A) ) V'J~ ~ 0 /~ec. 7031.5 Business and Profe11ion1 (ode: Any City or County which requires a permit to construct. alter/ improve, demolish or r?P.air any structure, prior to its issuance, also rtquim the applicant for such permit to file a 1igned statement that he is ri"n1ed Jl.unuant to the provi1ions of the Contmtor'1 liceme Law (Chapter 9, commending with Section 000 of Division 3 ol the Busl mm ind Pro1euion1 Code} or that he is exempt therefrom, and the bam for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecu the applicant to a civ~ penalty of not more than five hundred dollars {$500)). Workers' Compensation Oeclaratlon: / 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 Sec6on 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain worklJ' ~-m~ns~~qn, as required by Section 3700 of the Labor Code, for the _performan£!t oft~ Xork fo/ which is p rmit is Issued. My wo~e~· compensa~~'!!u1n_:e :a:: and policy numberare:lnsuranceCo. ~~tift Pol1cyNo. L.C,(D7 C, Exp1rallonDate ~ _ ~ This section need not be completed if the permit is for one hundred dollars ($100) or !ess. D Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' C.Ompensation Laws of California. WARNING: Failure to sec e rkers' com ensa overage Is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d a I ·n S Ion 3706 of the Labor code, Interest and attorney's fees. _g 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 Of 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 !hat 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 bui!ds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contrac!or's License Law). I am exemp! under Section Business and Professions Code for this reason: ~ 1. I personally plan to provide the major labor and materials for construction of 1he proposed property improvement. 0 Yes o 2. l (have f 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 I phone I 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 I phone I 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 I address/ phone/ type of work): rs the applicant or future 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? O Yes ~o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or~·_ a!ity management district? D Yes "liJo . Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I rert:lfythat I have read the applicatlon and state that the above lnfonnatlon Is oorrect and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relatlng to bulldlng construction. lhereby 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 permij is required for excavations over 5'0' deep and demolition or construction of structures Mr 3 stolies in height. EXPlRA TION Eve,y permit ISSUed by the Bu1kl1ng Offic1a~under the IOVISlons of th!S Code shall expire by fim1talioo and become null and void if the bu!ld1ng or work aulhonzed by such permtt !S not oommenced VAthlfl 180 days from the date of such permtt or if the buildtng or permtt IS suwe!1ded or abandon at any time after the WOik IS commenced for a period r 180 days (Section 106 4 4 Unifoon Bu1kl1ng Code) APPLICANT'S SIGNATURE LA-"-11"'.,,..---<)(, DATE 7 / 1-: 0 IO 7 City of Carlsbad Bldg Inspection Request For: 07/11/2008 Permit# CB071977 Title: WILKINSON DESIGN GROUP Description: NO ELECTRIC Type:SIGN Sub Type: Job Address: Suite: Location: 2810 ROOSEVELT ST Lot: 0 OWNER ROOSEVELT TAMARACK INVESTMENTS LP Owner: Remarks: Total Time: Act Comments Inspector Assignment: Phone: 9493222052 Inspector: Requested By: DAVID Entered By: JANEAN CD Description 19 Final Structural M!_ _____ _ -----~ ··--- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments