HomeMy WebLinkAbout2808 STATE ST; ; CB090434; PermitCity of Carlsbad
' 1635 Faraday Av Carlsbad, CA 92008
03-18-2009 Sign Permit Permit No: CB090434
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2808 STATE ST CBAD
SIGN Status:
Lot#: 0 Applied:
Valuation:
2031810500
$400.00 Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title: AMIE'S COLL: NEW SIGN
Applicant:
CARLSBAD VILLAGE THREATRE LLC
C/O TOM MCMAHON
4028 PARK DR
CARLSBAD CA 92008
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:
CARLSBAD VILLAGE THREATRE LLC
C/O TOM MCMAHON
4028 PARK DR
CARLSBAD CA 92008
ISSUED
03/18/2009
JMA
03/18/2009
03/18/2009
$15.28
$0.00
$9.93
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$25.21
Total Fees: $25.21 Total Payments To Date: $25.21 Balance Due:
FINA
Inspector: Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imp ition" of 'es, dedications, reservations, or other exactions hereafter collectively
rl'!ferred 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
t0llow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager tor
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,
rP-view, 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 f xactl n I i h h v r v1 I T imil r hi r whi h h I I l1mi n h r v1 I h rwi
City, of Carlsbad Plan Check No. CB,oqo 4 ~
1635 Faraday Ave., Carlsbad, CA 92008
76,0-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE# /SPACE# /UNIT#
Plan Ck. Deposit
APN
# BATHROOMS CONSTR. TYPE
__ L__ _ __JLL._:LJ..J.__..L_---U'1L /i[f_tt,_·_,,_~.<L.,J,i.'------.----.J--
'r t1/J/11Jf G1 Jt
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □ # --NO □ YES □ NO □ YES D NO □
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.#
(~ec. 7031.5 Bui nm and Profe11iom Code: Any City or. Count): whi(h require1 a permit 10 conmuct, alter/ improvt,. demolish or reP,air uy 1tructure1 prior to iu inuanct, also requires the ap_plicant for 1uch permit to lilt ii 1igned stattffll!nt tllat he is r1cen1ed _.P:Urmnt to the provisions of the Contractor'i Licenie law {Chapm 9, commtnding with Section 000 of DMsion 3 of the Bu1ine11 and Promsioni fode} or that he 11 exempt thtre from, and the bnis for lht allegtd exemption. Any violation of Section 7011.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fivt hundred dollan {$500}).
WORKl!RS" COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I 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 performance of the work for which this permit is issued.
D l 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 Date __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D 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
California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, damages as provided tor In Section 3706 of the Labor code, interest and attorney's fees •
.£5 CONTRACTOR SIGNATURE DATE
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 or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
f 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 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 pro1ects 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. □ Yes □ No
2. I (have I 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/ 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/ contractors' license number)·
5. I will provide some of the work, but I have acted (hired) the f2[!Pwing person ovide the work indicated (include name/ address I phone/ type of work):
Is the applicant or future building occupant required to submi1 a business plan, 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? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is c01rect and that the infonnation on the plans Is acrurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authortze representative of the City of Carlsbad to enter upon tt1e 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 for excav · ns over 5'0' deep and demolition or nstruction of structures over 3 stories in height
EXPIRATION: Every permit issued by the ildin Official under the provisions shall expire by limitation and become null and void~ the building or work authorized by such permit is not commenced witt1in
days from ~e dale of such pem,;f o !he b ; ;ng or work au~onz by tt ;, suspended or abandoned al any hmeafter lhe wo:::mme'y'l)-'i 100-;; (Seclon 106.4.4 Un;!om, Bu;1d;ng Code).
m
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City of Carlsbad Bldg Inspection Request
' .
Permit# CB090434
Title: AMIE'S COLL: NEW SIGN
Description:
For: 03/19/2009
Type:SIGN Sub Type:
Job Address:
Suite:
Location:
2808 STATE ST
Lot: 0
APPLICANT CARLSBAD VILLAGE THREATRE LLC
Owner:
Remarks: BETWEEN 11-5 PLEASE
Total Time:
CD Description
38 Signs
------.. ----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7605008548
Inspector:
Requested By: AMY
Entered By: KATHY