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HomeMy WebLinkAbout2907 STATE ST; ; CB020085; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-09-2002 Sign Permit Permit No:CB020085 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2907 STATE ST CBAD SIGN Status: Lot#: 0 Applied: Valuation: 2032930100 $4,000.00 Construction Type: NEW Entered By: ISSUED 01/09/2002 JM 01/09/2002 01/09/2002 Reference #: Plan Approved: Issued: Project Title: GALDO POMODORO -2 AWNINGS Inspect Area: Applicant: BETZ FAMILY TRUST 11-04-91 3240 DONNA DR CARLSBAD CA 92008 Total Fees: $88.26 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 ilt.f,d J Inspector· ljt, . I Owner: 8487 01/09 /02 0002 01 CGP BETZ FAMILY TRUST 11-04-91 3240 DONNA DR CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL I I Balance Due: $53.49 $0.00 $34.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $88.26 $88.26 J/ /5; /4L Date: 1 __ 9 _ Clearance: _____ _ 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 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 capactiy changes, nOf 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 exnired. 02 88-26 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN cHE~No.d'i2Z,--65 EST.VAL.'{Y) i /4..K 7to-6ol---~<?'558 Plan Ck. Depo,~s::;it:.-,.-----f-f----- Validated By·..:.JUJL.\-t-l,9'/--f:,"!--,-- Date, _______ .Jt..~!->4"'---- 1. PROJECT INFORMATION <:Ii-'C&-ioo eomo:roRQ Address (include Bldg/Suite #I ;;i. 9-o 7 srttT€.-sT Cfrf?l-S/3fl:12 <2r, Business Name (at this ad6ressl ) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use Description of Work ;J SQ. FT. #of Stories II of Bedrooms # of Bathrooms ii .,;1 ~ cdi. o._Cf:( e d .2. CONT ACT PERSON ·t1fdlfferent from applicant) Name 3. .-fo Bu;/J;,.,,J- State/Zip Telephone II Fax fl Telephone# 4. PROPERTY OWNER 7 ~ 0 -y 3 Y -,i';/ .f'-b c.Jl:. l<_:::::irc..;c2w,h::i::,..____J.£~ee.:±nc~-r------,-,-.,..-------------;c::-,------;;=-;,;;::---__:;7~e,~Q..,.:~~!ill;'ll~ ... 111ri:'i·i?---Name Address City State/Zip Telephone# 'y t-Y 3 Y / 5. CONTRACTOR -COMPANY NAME (Sec. 7031 .5 Business and Professions Code: Any City or Countv which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is 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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS• COMP~NSATION Workers' Compensation Declaration: I 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 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 worker's compensation insurance carrier and policy number are: Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 worker•• compensation coverage la unlawful, and •hall subject an employer to crimlnal penalties and civil flnea up to one hundred thousand dollars 1$100,0001, in addltlon to the cost of compensation, damage• H provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE, _____________________________ _ DATE _________ _ 7. OWNER-BUILDER·DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: 0 I, es'. 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 sale. If, however, the building or improvement is sold witliin 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 (Sac. 7044, Business and Professions Coda: The Contractor's license Law does not apply to an owner ot propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1, I personally plan to provide the major lebor and materials for construction of the proposed property improvement. 0 YES 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 number / contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone umber/ contractors license number): ________________________________________________ _ I will provide some of the work, but I have contracted (hired) the follo persons to provide the work indicated (include name / address / phone number / type workl: _________ ...,_--.-----,--,;,-c,-----,L-,',.,-,--------------------,''------,,--------- Is the applicant or future building occupant required to submit a business Ian, ecutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Preslev·•~""'"-"Nzardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the fncility to be constructed within 1,000 feet of the outer boundary of a school site? D VES O 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. 8. CONSTRUCTION.LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION r certify that I have read the application end state that the above information is 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. I hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned propeny tor inspection purposes. I ALSO AGREE TO S.AVE, 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 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 this Code shall expire by limitation and become null and void if the building or work authonzed by such permit 1s not commenced w,thm 180 days from the date of such permit or If the budding or work authorized by such permit Is suspended or abandoned at any time after the work 1s co menced tor a peno of 180 days (Sect10~ 106 4 Uniform Building Code). ~ / Q"PPLICANT"S SIGNATURE ---'-~~t....a,::;;,;,,___c.,;~1.£!~'.fe_<~~~,_________ DATE .,;/----?ll,,) PINK: Finance -, -.~ r---•-·•--~------- City of Carlsbad Bldg Inspection Requ st For: 03/18/2002 Permit# CB020085 Title: CALDO POMODORO -2 AWNINGS Description: Type:SIGN Sub Type: Job Address: 2907 STATE ST Suite: Lot 0 Location: APPLICANT BETZ FAMILY TRUST 11-04-91 Owner: BETZ FAMILY TRUST 11-04-91 Remarks: AWNING INSPECTION AFTER 11AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7607209998 Inspector: ---- Requested By: GINA Entered By: CHRISTINE 19 Final Structural ~----- Associated PCRs Inspection History Date Description Act lnsp Comments