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HomeMy WebLinkAbout2787 STATE ST; MULTI-PERMIT FILE; CB132167; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-10-2013 Sign Permit Permit No: CB132167 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2787 STATE ST CBAD SIGN 2032950101 Lot#: $7,000.00 Construction Type: NEW VILLAGE ARTS: ILLUM. SIGN 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/10/2013 JMA 09/10/2013 09/10/2013 WESTERN SIGN & AWNING CITY OF CARLSBAD REDEVELOPMENT AGENCY OBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARCOS CA 92078 760 736 6070 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 PUBLIC AGENCY 00000 EXPIRED PERMrr PERMIT HAS EXPIRED IN ACCORLlfo~•iG[.Nff!➔.~:f:l.C SECTION 106.4.4 AS AMENDED [•Yi, k•.C rnN.33''1 DATE I llfil '" SIGNATUR£~,--· --. $97.47 $0.00 $68.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $165.70 Total Fees: $165.70 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $165.70 NOTICE: Please lake NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the dale 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 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 X i n f whi h h V r vi I n iv n N Tl imil r hi r whi h th r i n h I h rwi f THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING ENGINEERING <<' ~ CI T Y OF CARLSBAD Building Permit Application 1635 Faraday Ave .. Carlsbad. CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www .c1rt1b1dca.gov JOUDDRUS &7'61 &ate. Sweet . c /PROJE(,f# _ _ 1 ~OU 1:1ASE # r Of UNITS 1 , EEDROOMS IUITII/IPACII/UNIU DESCRIPTION OF WORK: Include Square Feet of Affected A.rea(s) r 1) one I l \. um , ~o.-t-.ecl Th,Q_a:teYL BUILDING FIRE Est. Value Plan Ck. Deposit oat;-q- APN l!XISTING USE PATIOS (SF} DECKS (SF) FIREPLACE YES[}t APFUCANTNAME (Primary Cont act) APPLICANT NAM! (Secondary Contact) ADDRESS CITY &'uYLe a~ cc11-tracfuS2... STATE ZIP ADDRESS CITY PHONE FAX PHONE EMAIL -------------------------EMAIL PROPERTY OWNl!R NAM! CONTRACTOR BUS. NAM! ADDRESS ADDRESS aw, s . Pa cif'i c St PHONE 4JlC>VOESIGNER NAME & ADDRESS STATE LtC. # --·-- HEALTH HAZMAT/APCD I :swPPP ZIP (Sec. 7031.5 Business and Protesslons cooe: Ar,y C">' or county which requires a permit to construct. atter. Improve, demolish or repair any structure, prlOr to Its Issuance, also requlr~ the applicant tor such permit to Ille a sttned statement thal he Is lleensed pur.;uant to the provlslOns Of the contractor's Lleense Law (Chapter 9, commending with Section 7000 of Division 3 Of the Business and Professions COde} or {hat he Is exempt therefrom, and the basis for the alleged exemptlOn. Any vlOlatlOn 01 Section 7031.5 t,y any applleant tor a permll subjects the applicant to a cMI penalty or not more than five hundred dollars 15500)). I Worllers' Compeftulion Oeolar..tiOfl' / hereby affum unt!M pena/ry of pe,ju,y one of the lolk,wing declarations· 0 I have and wAI maintain a O<!rtificale of consent lo seff~noure lor workero' compensation a, provided by Section 3700 o/ the Labo< Code, lor the performance o/ the work for ...,ict, this permit is issued. I 'S, have and wHI maintain worl<ers' e<""l'""_sallon, as N!QIJired by Section 3700 of the Labor Code, for Iha perfonnance of the work for 'Mlich !his pennit is issued My worl<tr,' compensation insurar..-and policy J nuni>er are lnsuranc.e Cc.::[~ (rlt..J..JS.r..e_}~ _ _,_C(L:. __ _ Policy No. ~S..0.k. __ Expuation Dale f/ / 1 µ!J. _____ _ This SflGtion nHd nol be completed~ the permit is f,)o,..e hundred dollats (S100) or less. t O Certificate of Exemption: I certify thal in the performance of the work lor IMlich this pennil is issued, I shall not employ any pe!SOR in any manner so as 1o become subject lo lhe Wortcers' Compensation Laws of California. WARNING: failure to secure worl<ers' oompenution coverage Is unlawful, and 1hall 1ubjecl an employer to criminal penaMles and civil fines up to one hundred thousand dollars (& 100,000~ In addition lo the oosl of compensation, dam as provided for in Section 371Mi of the Labor code, Interest and attorney's lees. £f CONTRACTOR SIGNATURE OEllT DATE I::> I hereby affirm that I am exemp1 irom Con/ractot's license law fol the following reason. n I, as owner o/ the property or f"1 employees ..;Jh wag,,. as lheit sole eompensabon, .... do the work and the structure is not inlended or ofteted for sale (Sec 7044, Bu....ess and Professions Code The Con~aclor's ' License Law does riot apply to an owner ol p,op.rty who builds or improves !hereon, and who does sllCh work himsett or through his own employees. provided Iha! such ~ovemenls are not intended or offered ta sale If, however, lhe buikfong or imp,ovtmenl is sold within one year o/ compleloon, the o-r-bu11der ,.;n have the b<Jrden of proving Iha! he did not build or ffl'4l'OVe for the purpose of sale) □ LJ I, as o-;,ner o/ the p,operty, am exckls,vely contracbng with hoensed contractors to conslruct lhe projoc1 (Sec 7044, Business and Professions Code The Contractor's L~nse Law does nol apply to an awner o/ property who builds or ffl'4l'OVes !hereon. and conlraas lor such projecls .,;tt, contractor(s) licensed pursuanl to the Conlracior's L~nse Law) I am exempt under Sechon ____ Business and Professions Code for this reasor,· 1 I pe,sooally plan to provide the major labor and materials for oonslruction of the proposed property improwment. 0Yes 0 No 2. I (have / have not) signed an application for a building permn for the p,oposed worfc 3. I have conlracted .,;tt, tho following peroon (firm) lo provide the proposed oonslniction (inciude name address/ phooo / conlroctors' icense numbe<). ,. I plan to provide portions of the WOfl<, bul I have hired lhe following pe,son lo ooordinate. supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I,.;ii p,ovide scrne of the work, but I have oon1racied (hired) the folowing ~ons to p,ovide lhe work indicaled (include name/ address/ phone/ type of WOil\): ~ PROPERTY OWNER SIGNATURE DATE Is the appicant o,.-Mure building occupant required to submit a business planptely hazaroous malerials registration fofm o, risk management and prevention program under Seciions 25505, 25533 o, 25534 of the Presley-Tanner Hazlrdous Substar.:e Accoont Act? Yes ,/NO_ · / Is the applicant ot Mure building occupant required to obtain a pen-nit m the air pollutton con~ol distnct ot ;a·, ·1y management district? Yes /No ts the fac.iily to be conslNcled within 1,000 feet of the out0< bounda,y of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED NLESS THE APPLICANT HAS MET OR IS MEETlNO THE REQUIREMENTS OF THE OFFICE OF EMEROENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there is a construction lending agency for the performance of the worl( this penntt is issued (Sec. 3097 (i) Civil Code). Lende(s Name Lender's Address I Cffllfi' lllat I 111.e rud ltle appllca1lon and state that the abcwe lnto!matlon Is conect1nd 1llat Ille lnfonllltlo~ on the pans ls1CCU11te. I 1&iee to comply with Ill atyordlnanoes and Stn: Llws matillCID buldln& c:onslnlCtiefl. I hereby aithorize reire;entative of the City of Cartsbad kl enEr upon the above menooned property br nspecoon pt.VpOSeS. I ALSO AGREE TO SAVE. INif~IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIIJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requred br excavaoons over so· deep clld demoai:>n or construdi:>n of struc:llles 0'ler 3 sbies n height EXPtRA TION Every pemjt issued by the Buitling Official under the PfO'/ISOOS of this Code shal expire by limi1alion clld beaxne nul and voo I the buillng OI v,a1t dlonzed by sudl pemi1 is not coomenced wiltlrl 180daysfrom the ~ol suet, pennilor ~Obo.Jtlngcn,011( ~such · is suspended or at any tine aftef thev.oo< iscoovnencedb-a peood ol 180days(Sediln 106.4.4 Unibm Bu~ Code) ..es-"'"'"':" ... '""' D11f1-lU _ ""--'1} 10 / ro STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fu (760) 602~560. Email buildjng@cal1sbadca.gov or Mail the completed lonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. cot: tOfflce Use Only) CONTACT NAM[ OCCUPANT NAMI!: ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No DELIVERY OPT10NS PICK UP: CONTACT (listed above) OCCUPANT (listed aboVe) CONTRACTOR (On Pg. 11 MAIL TO: CONTACT (listed above) CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: OCCUPANT (listed above) --·-----~---------------· ------------ A$ APPLICANT'S SIGNATURE ASSOCIAT£D CB#-__ ------------ NO CHANGE IN USE/ NO CONSTIWCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP lnspecfion List Penn it#: CB132167 Type: SIGN Date lnspecti()ll_l!em 02/14/2014 38 Signs 02/14/2014 43 AirCond/Furnace Set 02/14/2014 49 Final Mechanical Wednesday. October 01, 2014 Inspector Act PY NR PB PB AP AP NEW VILLAGE ARTS: ILLUM. SIGN Comments Page 1 of 1 ~CA~LSBAD Community & Economic Development www.carlsbadca.gov February 3, 2014 Permit Number: CB132167 CITY OF CARLSBAD REDEVELOPMENT AGENCY PUBLIC AGENCY 00000 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN PERMIT (BUILDING) Issue Date: September 10, 2013 WESTERN SIGN & AWNING OBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARCOS CA 92078 ADDRESS: 2787 STATE ST PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on March 9, 2014 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Janean Hawney Office Specialist =.,,.,.,. Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 ---·-· .•.. --------------- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-26-2007 Sign Permit Permit No: CB072495 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2787 STATE ST CBAD St: b SIGN 2032950101 $560.00 Lot#: 0 Construction Type: NEW VILLAGE ARTS NEW SIGN W/LIGHT AND BANNER MOUNT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/26/2007 JMA 09/26/2007 09/26/2007 CITY OF CARLSBAD REDEVELOPMENT AGENCY CITY OF CARLSBAD REDEVELOPMENT AGENCY PUBLIC AGENCY 00000 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 PUBLIC AGENCY 00000 $15.93 $0.00 $10,35 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $46.28 Total Fees: $46.28 Total Payments To Date: $46.28 Balance Due: Inspector: FINAlir Date: l Clearance: $0.00 N QT ICE Please take NOTICE that approval of your project includes the "Im po ition" of fees, 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. II 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 tha1 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 lT APPLY to any fees/ex in !which hav r VI I n iv n N Tl E imil rt hi r h" flimi i h I City of Carlsbad 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. C BO 7 ?--'-f: q -~ Est. Value f!1 5'4, 0 Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date SUITE#/SPACE#/UNIT# APN STA-TE. ST. LOT# # BATHROOMS TENANT BUSINESS NAME CON TR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) FIRE SPRINKLERS YES O NO □ CONTACT NAME (tf D/lferent Fom Appl/cant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL a ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS crrv BUS. LIC.# /Sec. 7031.5 Busi11ess and Prqfyssions (ode: Afly City, or _Count): which requires a pffillit 10 COl)Struct, ,alttr1 impron1 \lllmolish or reP,air_ any structllre1 p~or ID its issuance, ah9 requires the a,pliant for such permit to file a signed s~ement that l:te is r.ce~sed Jl.Ul"Suant to the prqvmons of the Cqncraqor s LiceMt µw (Chapter 9, commending with Section 000 of Dr,111on ) of the BusineH and Proiessions Code} or thit ht rs exempt thff!fi'Om, and the bas1s for the alleg!!d nempbon. Any violabon of Seroon 7031.5 by any applicant for a permit subJl!ct5 the applicant IO a er,~ ~nalty of not more than five hundred dollan {$500}). WORK&RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and wfll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work fOf which this permit is issued. □ I have and will maintain workers' compensaUon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit ls issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subjeet an employer to criminal penalties and civU fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,I$ CONTRACTOR SIGNATURE DATE OWN&R•BUILDl:R DECLARATION 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 bui!ds 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). X 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 ____ ,Bl!siness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I hcl'.'e contracted with the following person (firm) to provide the proposed construction (include name address I 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 I 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 I address/ phone/ type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registraUon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Hazardous Substance Account 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 to 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 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name lender's Address I certify that I have read the appllcatlon and state that the above Information Is col1'0Ct and that the information on the plans is accurate. I agree to comptywlth all Clfy ordinances and State laws relatlng to building construction. I hereby aulhorize represenlalive of lhe Ci~ of C'"1sbad ID enter upoo lhe above mentioned property for inspection pulJ)OSeS. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for exca,.,atioos over 5'0' deep and demolitiOn or construction of strucbJres over 3 stories in height. EXPIRATION: Every permit issued by the Building · I under the provisions of this Code shall expire by nmitation and become null and void W the building or work authorized by such permit is not commenced within 80 days from lhe date of such permit or rrlhe b ormrl< aulhonzed..i>rsm:tapennl -~~lledor abandoned al any time afterlhe v.orl< • commenced for a period of 180 days (Section 106.4.4 Unrrorm Bui~ing Code). DATE _ ... _.,_,_ m . . City of Carlsbad Bldg Inspection Request For: 09/30/2008 . Permit# CB072495 Title: VILLAGE ARTS: NEW SIGN W/LIGHT Description: AND BANNER MOUNT Type:SIGN Sub Type: Job Address: 2787 STATE ST Suite: b Lot: 0 Location: Inspector Assignment: Phone: Inspector: __t APPLICANT CITY OF CARLSBAD REDEVELOPMENT AGENCY Owner: CITY OF CARLSBAD REDEVELOPMENT AGENCY Remarks: Can you final this permit? Total Time: CD Description 38 Signs Date Description .Etomments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Act lnsp Comments Requested By: CHRISTINE Entered By: CHRISTINE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-28-2007 Sign Permit Permit No: CB072220 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2787 STATE ST CBAD SIGN 2032950101 $800.00 Lot#: 0 Construction Type: NEW SOWING SISTERS 2 WOOD WALL SIGNS(NON-ILLIMUNATED) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/28/2007 KG 08/28/2007 08/28/2007 CITY OF CARLSBAD REDEVELOPMENT AGENCY CITY OF CARLSBAD REDEVELOPMENT AGENCY PUBLIC AGENCY 00000 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 PUBLIC AGENCY 00000 $17.97 $0.00 $11.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.65 Total Fees: $29.65 Total Payments To Date: $29.65 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE t t approval of your project includes the "Imposition' of fees, 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 1n accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to al\ack, review, set aside, void, or annul !heir 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 s1m1lar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fee lexa i n f which hav r v1 I n iv n a N TICE similar t hi r hi h h t f imi I City of Carlsbad 1635 Faraday Ave .. Garlsbad. CA 92008 0760-602-.2717 / 2718 I 2719 "Fax: 760-602-8558 Building Permit Application JOB ADDRESS ~TA-TE Sr SUITE# /SPACE# /UN IT# # BATHROOMS I TENANT BUSINESS NAME 27 ~1 l'OT # DESCRIPTION OF WORK: 2 -"Sl &. i0S 1 PHASE • r OF UNITS 1 • BEDROOMS -AJo v -1 -; / 0/itt/lJ4 +e. CONSTR TYPE _I CCC GROUP W4/ SIGl(J EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF} DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □# __ NO □ YES D NOD YES □ NOD CONTACT NAME (ff Different Fom App/leant) ADDRESS STATE Z1P PHONE FAX EMAIL PROPERTY OWNER NAME TRACTOR BUS. NAME AE,6i,en .. ~ r-c : tLS&;a.D · ADDRESS CITY . fy_or A'-"'""'""-'":'~S:;T~AT~E"'--"'--"---"'-''-"'-"-'-S:c-'-LJ---1,C'ITY=------------,s,.cA.;Tc,cE-----,,"",Pc---------- ~PHONE FAX PHONE FAX EMAIL EMA!l ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC,# ClASS CITY BUS. LIC.# !Sec. 7031.S Bu1int11 and Professions Code: Any City or County which requiru a permit to construct. alter/ improve, demolish or rtP.air any structure1 prior to its issuance, also requires the applicant for such permit to file a signed !latement that he is icensed _9.1m11ant to the provi11ons of the Contractor's license law (Chapter 9, commending with Section 000 of Division 3 of the Business and Pro1t11ion1 Code} or that he is exempt dierelrom. and the bam for the alleged exemption. Any Yiolation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fiye hundred dollars {$500}). ; WORKERS' C:OMPlllllSA"tlON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and wlll maintain a certificate of consent to self-tnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No, _______________ Expiration Da!e __________ _ This section need no! be completed iflhe 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 lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltles and civil fines upto one hundred thousand dollars (&1D0,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interesl and attorney's fees. NS CONTRACTOR SIGNATURE DATE I hereby affirm /hat I am exempt from Contractor's license Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the s1ructure 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 !he 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 1he project (Sec. 7044. Business and Professions Code: The Con\ractor·s License Law does no\ apply to an owner of property who builds or improves thereon, and con1racts for such projects with contractor(s) licensed pursu;,nt to \he Contr;,c!or"s License Law) n I am e~empt under Section ____________ Business and Professions Code for this reason. 1. I personally plan to provide the major labor and materials for construction of !he proposed property improvRmenl t1 Yes O No 2 I (have/ have not) signed an applica1ion for a building permit for the proposed work 3. I have contracted wilh the following person (firm) to 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 I address I phone I contractors' license number) 5. I will provide some of the work, but I have contracted (hired) !he following persons to provide the work indic;ited (include name I address I phone I type of work) -------·-· ------------------------------ ,I$ PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely h;izardous materials registration form or risk management and prevention program 1mder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ti Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quali1y management district? O Yes O No Is the facility to be cons!ructfld within 1,000 feet of the ouler 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans ls accurate. I agree to comply with all City ordinances and State laws relating ID bulldlngconstruction. lhefeby authorize representative of the City of Ca~sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARfv11...ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of · Ccxle shall e ire by limitation and become null and vokl if the building or won< authorized by such permit is not commenr.ed within 180 days from the date of such m::z· uilding orwon< aulh · it is s ded or abandoned at any time after the 'M'.ll1< is oommenced for a period of 180 days {Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE · < -DATE t, ~ 0 --· ---------------~--- City of Carlsbad Bldg Inspection Request For: 09/07/2007 Permit# CB072220 Title: SOWING SISTERS 2 WOOD WALL Description: SIGNS(NON-ILLIMUNATED) Type: SIGN Sub Type: Job Address: Suite: 2787 STATE ST Lot 0 Inspector Assignment: Phone: 7607207397 Location: Inspector: ----- OWNER CITY OF CARLSBAD REDEVELOPMENT AGENCY Owner: NEW VILLAGE ARTS Remarks: Total Time: Requested By: DAVID Entered By: JANEAN CD Description 19 Final Structural 38 Signs fl-m-en_t _________________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act tnsp Comments City of Carlsbad 02i02/1999 Sign Permit Permit No:CB990470 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2787 STATE ST CBAD SIGN Parcel No: Valuation: Reference #: 2032950101 $3,100.00 Lot#: 0 Construction Type: NEW Project Title: 2 WALL SIGNS WITH ELECTRICAL Applicant: DELTA SIGNS 4574 DEL MONTE SNA DIEGO CA 92107 619-223-0211 ? +,?00tJ}'L, tt~-' ti) $( ¼;$))iii Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/02/1999 JM 02/02/1999 02/02/1999 0001 01 O? C--F'RMT 12{) .. 78 Total Fees: $120.78 · ' • l'blal-Payments To Date;• ·• $0.00 r ance Due: $120.78 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 TOTAL PERMIT FEES EXPlffEDiPEffMIT =":&.~IN ACCORDANCE WITH U.8.C. / \'4 JIS1 .08 • $0.00 $89.70 $0.00 . $0.00 $0.00 $0.00 $20.00 $120.78 nm cJ/00 IIA'III 10S ----- Inspector: -L FINALA:/VAL Date: Clearance: __ ,./'-----7 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, 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 Ca~sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise ex"ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONL PERMIT. APPLICATION PLAN CHECK N0.-::::,111""-+---~- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ____ ...,.__.....,....,. __ _ Plan Ck. Deposit-~------:--- Validated By __ --'""'-+.a.--'-r-~r-.::-21..--- Date. _______ ~bl"-"--"t---irl~ Subdivision Name/Number Mttf ZLS Proposed Use -t,.1(1-...-rv 1"2-L 5,'TDf2.12. #of Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax II Address - License Cl11s C -L---\ ~ A Pa"4 City Business License I _______ _ Address City State/Zip Telephone . ··~ ., •. I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain I certificate of consent to self-Insure for workers' compen11tlon. as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, 11 required by Section 37'00 of the Labor Code, for the performance of the work for which this permit la issued. My worker's compensation insurance carrier end policy number are: · Insurance Company_____________________ Polfcy No. ____________ _ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) It{ CERTIFICATE OF EXEMf'!ION: I certify that In the perfo.rmance of the work for w~ich thia ~•rmit is issued, I shall not employ any person In any manner so as /toS.Come subject to the Workers' Compensation Laws of Caltfomla. . WARNING: Failure penaetlon coverage la unlawful, end •hall aubject an employ• to ctlmlnlll .penaltlea end clvU fines up to one hundred thouland doll• of C01r11Per11'8tton, damage• u provided for In Section 3708 of the Labor code, lnterut and attorney's fua. SIGNATURE _ , ' . DATE --:°\ EN ])Eci:ARA . "' · · ' ' • '"..,1i•.~.,...,_,,,,.,..J'! rom the Contractor's License Law for the following reason: 0 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 ·ott•red for· sale (Sec. 7044, Business and Professions Code: The Contractor·• 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 o~ Improve for the purpose of sale). 0 I, as owner of the property, am exclu■ively contracting with licensed contractora to construct the project (Sec. 7044, Business and Professions Code: The · Contractor's License Law iloes not apply to an owner of pfoperty who bulld1 or Improves thereon, and contracts for such projects with contractor(sl licensad pursuant to the Contractor's License Lewi. 0 I am exempt under Section ______ Business and Professions Code for thi1 reason: 1. I personally plan to provide the major labor and matarials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an appllcation for a bullding permit for the proposed· work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractor~ lice~se 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 number/ contractors license numberl=---------------------------------:--------------- 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 number/ type . of work): ___________________________ ~------------------------------ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTIOij FOR ~iJN;jfisiljiiifML 'iO'il]SINifPE~ 11 the applicant or future building occupant required to submit a business plan, acutely hazardou1 materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act-? 0 -YES □ NO . · Is tho applicant or future building occupant require~ to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the f~cility to be constructed within 1,000 feet of the outer boundary of I school site? 0 YES 0 , NO -~~1~.v;~_ "" I hereby affirm thet there is• cons~ructlon lending agency for the performance of the work for which this permit Is issued (Sec .. 3097(1) Civil Code). LENDER'S ADDRESS · N I certify that I have reed. the appllcation and state that the above information is correct and that the Information on the plans Is accurate. I agree to comply y,,ith all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 permit is required f~r excavations over s•o• deep and demolition or construction of structures over.3 stories in height. EXPIRATION: Every permit l1~ued b the Building O~fi~ial under the provisions of this Code shall expire by llmitatlon and become null and void If the building or work authorized .by such permit is no commenced within 365 de s from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after t e o is co menced for• peri f 18 ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --:;i::.:::__:_-::-;.~::~-t-..::::.l"-'::..._...!...!::~~,;.±:=:l....---DATE 2---2--5::=\ PINK: Finance ·