HomeMy WebLinkAbout2814 ROOSEVELT ST; ; CB071979; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-10-2008 Sign Permit Permit No: CB071979
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2814 ROOSEVELT ST CBAD
SIGN
Lot#: 0
Valuation: $1,000.00 Construction Type: NEW
Reference #:
PC#:
Project Title: KELLEY GRAPHICS: NEW SIGN
NO ELECTRIC
Applicant:
PROMOTIONAL SIGNS. INC
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
Owner:
Total Fees: $35.19 Total Payments To Date:
Inspector:
FINAi.A
Date: -t
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/26/2007
JMA
07/27/2007
07/27/2007
$21.33
$0.00
$13.86
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.19
$35.19 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fe 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 forih 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 ba·· 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 lees in connection with this proje-~t. NOR DOES IT APPLY to any
h Tl 'I r hi r i h r I
City of Carlsbad PlanCheckNo. C5Cf7 l
1635 Faraday AYle., Carl:;;bad, CA 92008
760-602-2717 / 2718/ 2719 Est. Value ,e/5
Fax: 760-602-8558
Building Permit Application
H OF UNITS H BEDROOM
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (ff Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CITY
Workers' Compensation Declaration: I hereby affirm under penalty of petjuryone of the following declarations:
Plan Ck. Deposit
Date
SUITEH/SPACEH/UNITH
H BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF)
APPLICANT NAME
APN
NOD
AIR CONDITIONING
YES D NOD
ADDRES~/O ~ ,-
CITY STATE ZIP
FIRE SPRINKLERS
YES D NOD
I have and wlll 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 '~o_ml} nsat n, as required by Section 3700 of the Labor Code, for the performan~ of the JI.Ork fo which is rmit is issued. My workers' compensatio~nsur(nce ca!r and policy
number are: Insurance Co. t::N · Policy No. L.Cw'"J O Expiration Date ~ -_ -Q~
This section need not be compleled 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, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calilornia. WARNING: Failure to sec e rkers' com ensar overage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, d f n S Ion 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm /hat 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 inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply lo 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 lo conslrucl the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects wilh conlractor(s) licensed pursuant to the Conlracto(s License Law).
□ Jam exempt under Section _____ Business and Professions Code for this reason: t
1. I personally plan lo provide the major labor and malerials for construction of the proposed property improvement. D Yes o
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have conlracted with the following person (firm) lo provide the proposed construction (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 / conlraclors' 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):
Is the applicant or future building occupant required to submit a business ~ _acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Subslance Account Act? D Yes ~o ...;,,
Is the facility lo be constructed wilhin 1,000 feet of the ouler boundary of a school sile? □ Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ~i .1ality management district? □ Yes f:i,;.r,o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U ESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certifythatl have read the application and state that the above Information ls 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.
~hereby authorize representative of the City of Cal1sbad 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 permtt is required for excavations CNer 5'0' deep and demolition or construction of structures CNer 3 stories in height.
EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expire by limitation and become nuU and void ff the building or work authorized by such permit is not commenced within
180 days from the date of such permit or ff the building or u • · ed b , ch permtt is sus ed or abandon at any time after the work is coovnenced for a period 180 days (Section 106.4.4 Unfform Building Code).
APPLICANT'S SIGNATURE DATE 0
m • . . City of Carlsbad Bldg Inspection Request
For: 07/11/2008 . '
Permit# CB071979
Title: KELLEY GRAPHICS: NEW SIGN
Description: NO ELECTRIC
Type:SIGN Sub Type:
Job Address: 2814 ROOSEVELT ST
Suite: Lot: 0
Location:
APPLICANT PROMOTIONAL SIGNS. INC
Owner:
Remarks:
Total Time:
Act Comments
Inspector Assignment:
Phone: 9493222052
Inspector:~
Requested By: DAVID
Entered By: JANEAN
CD Description
19 Final Structural ~------
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments