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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 Page 1 of 1