HomeMy WebLinkAbout2177 SALK AVE; ; CB1412011; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-13-2014 Sign Permit Permit No: CB142011
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2177 SALK AV CBAD St: 200
SIGN Status:
Lot#: 0 Applied:
Valuation:
2120210300
$5,000.00 Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title:
Applicant:
CAL AMP -1 WALL SIGN NON-
ILLUMINATED
CHARLAINE ARCHITECTURAL SIGNAGE
STE 211
13100 KIRKHAM WAY
POWAY CA 92064-7128
858-566-8868
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
Plan Approved:
Issued:
Inspect Area:
Owner:
VENTANA REAL LL C
1525 FARADAY AVE #100
CARLSBAD CA 92008
ISSUED
08/13/2014
SKS
08/13/2014
08/13/2014
$77.87
$0.00
$54.51
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$132.38
Total Fees: $132.38 Total Payments To Date: $132.38 Balance Due:
Inspector: ~ • ~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of lees, dedications, reservations, or other exactions hereafter col\ectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. \f 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
f h h h v r v' I n i n N I h" whi h f Ii
' THE FOLLOWING £1,PPR0V,1LS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
{'city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
PHA.SE # # OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE GARAGE (SF) PATIOS (SF)
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAA
EMAIL
STATE LIC. # STA
□BUILDING □FIRE □HEALTH
AIR CONDITIONING
YES □No □
□HAZMAT/APCD
OCC. GROUP
FIRE SPRINKLERS
YESONoO
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any stru ure, pr or to its issuance, also requires the applicant for such permit to file a signed statement that he 1s 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 exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby afflnn under penalty of petjury one of the following declarations:
~ 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 pertormal\Ce of the work for which this permit is issued.
~ hav. e and will maintain work rs' compensation, as reQUired by Section 3700 of the Labor Code, for the performance of the work for which this permit i~ued. My worl\ers' compensa~iTRp carrier and policy
number are: Insurance Co .. .(.,;1,ll'~J_j.A:::<)4--------------Policy No. t1/Jr/_ R)sti:)~ 4/jl Expfration Date Z(] tr:
~sect10n need not be completed if the rmit is for one hundred dollars ($100) or less. I LJ Certificate of Exemption: I certify that in the perto ance 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 Worl\ers' Compensation Laws of
California, WARNING: Failurtto secu rs' pensation cove unlaw I, and shall subject an employer to crlminal penalties and clvll fines upto one hundred thousand dollars (&100,000), In
for In Sect e Labor code, int&fest and attorney's fees.
I hereby afflnn that I am exempt from Contractor's Ucense Law for the following reason:
I, as owner of the property or my employees with wages as thelr sole comper1sation, will do the work and the structure is r1ot intended or offered for sale (Sec. 7044, Business and Professions Code: The Cor1tractor's
License Law does rm! 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 improvemel'lts are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owr1er-builder will have the bllrden of proving that he did not build or improve for the purpose of sale), □
□
D
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. OYes ONo
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 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 worl\ (include name I address/ phone I contractors' licer1se number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worl\ indicated (include name I address/ phone I type of worl!;):
,8$ PROPERTY OWNER SIGNATURE □AGENT DATE
'
1 * 1 * ~ 1 *
(:Olllll'LETE THIS SECTION ,on NON-RESIOliNTIAL BUILDING l"ERMITS ONLY
Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk mru,agement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Accollnl 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? Yes No
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 UNLESS 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 abave Information Is correct and that the information on the plans Is accurate. I agme to comply\fflh all City ordinances and Sta1e lav.s relating to buHdlng construction.
I hereby aulhOfize representative of !he City of Carlsbad to enter up:m the atxJve menOOned property for inspection pulJXlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY 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 M OSHA permd is required for excavations over 5'0' deep and demoldi:Jn orcoostruction of structures over 3 stories fl he'ijht.
EXPlRA TION: Every permit issued by the Bui(ling Official under the provisions of this C.ocle shall expire by limitation and berome null and void ~ the buik:ling or v.olX authorized by sud\ permit is not oommenred 'Mthin
100days from lhe date of suet, permit o · "k:I" v.ork authorized bys rmd is suspended or abandoned at any time after the 'Mlrk is oommenred r a period of 100 days (Section 106.4.4 Uniform Buik:jing C.ocle).
,.,s APPLICANT'S SIGNATURE __ .,_..., DATE <ti 3
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildinq@car1sbadca.gov or Mail the completed fom, to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR {On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
·.
Inspection List
Permit#: CB142011
Date Inspection_ lt_em
12/23/2014 38 Signs
12/23/2014 38 Signs
12/23/2014 39 Final Electrical
Wednesday, December 24, 2014
Type: SIGN
Inspector Act
MC
RI
Fl
RI
CAL AMP -1 WALL SIGN NON-
ILLUMINATED
Comments
NON ILLUMINATED
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