HomeMy WebLinkAbout2825 STATE ST; ; CB043401; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB043401
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2825 STATE ST CBAD
SIGN Status:
Lot#: 0 Applied:
Valuation:
2032940100
$200.00 Construction Type: NEW Entered By:
Reference #:
Project Title: AWNING OVER ROLLING DOOR
Applicant:
SATTERLY FAMILY TRUST 05-03-91
1349 MELROSE WAY
VISTA CA 92081
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:
SATTERLY FAMILY TRUST 05-03-91
1349 MELROSE WAY
VISTA CA 92081
ISSUED
08/30/2004
RMA
08/30/2004
08/30/2004
$12.93
$0.00
$8.40
$0.00
$0.00
$0.00
$0.00
$18.67
$0.00
$40.00
Total Fees: $40.00 Total Payments To Date: $0.00 Balance Due: $40.00
9988 08/30/04 0002 01
Inspector: ~ FINAL APPROVAL
Date: /O 1/. 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 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 I x i n f whi h h v r vi I b iv n N Tl E imil r h whi h f limi I h
02
40-00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
· 1635 'Faraday Ave., Carlsbad, CA 92008
Legal Description Lot No. Subdivision Name/Number
Assessor'• Parcel I Existing Use
FOR OFFICE U::it: UNL Y
PLAN CHECK No.f;6a 43'l-//!)(
EST. VAL. 2,(2 0 _ ·
Plan Ck. Deposit _____ ,__ __ _
Validated By
1
p /lfir:
Date g ( 3o[oY _
Unit No. Phase No. Total I of units
Proposed Use
I of Bedrooms I of Bathrooms
(Sec. 7031 . 6 Business and Professions Code: Any City or County 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 blvlslon 3 of the Business and Professions Coda] or that he Is exempt therefrom,. and the basis for the alleged
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001).
Name Address City State/Zip Telephone I
State License I _________ _ License Class _________ _ City Business License I _______ _
Designer Name Address City State/Zip Telephone
State License I _________ _
\llfllWtffibi ""w 'l!!'l'fJ!f.fflJ11~~~m-~:l!f~~,l~::i~~t,~~r&id~~
Workers' Compensation Declaration: I hereby affirm under pen■hy of perjury one of the following declarations:
O I have .and will maintain I certificate of consent to self-insure for workeri compensation ■s provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for .the performance of the wor-k for which this permit is
Issued. My worker's compensation Insurance carrier and policy number are:
Insurance Company ___________ ....;.__________ Polley No .. ____________ Expiration Date _______ _
[THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 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 C■lifomla.
WARNING: Fallura to aec:ure wo,ti .. • compenaetlon coverage la unlawful, end ahall lut,Ject an employ• to criminal penehlea end clvM fines up to one hundred
thousand dollara (.,00,000), In eddltlon to the co_at of compensation, damages u provided for.In Section 3708 of the Labor code, lnteteat and attorney'• f_ua •
. -=.-finiiiiiR11111111M1iiiiiiiiirii1imiirii■i·imiiririiai·iriTPi••-•"'i-i· ·•1· i ·i·ifflffi-i ·i--i~iii·--~A~~ ~~~
·1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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, B11alne11 10d Profeas.io_na Code: The Contractor's License Law doea not apply to an owner of property who builds or improves thereon, end who doas
auch work himself or through his own employees, provided that such improvements ere no~ Intended or offered for sale. If, however, the building or improvement is
I within one year of completion, the owner-builder will have the burden of proving that he did not build or improve to, the purpose of sale).
I, es owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
C tractor'• License Lew doea not apply to ■n owner of property who builds or improves thereon, and contracts for such projects with contractor(&) licensed
pursuant to the Contractor's License Law). ·
.□
1.
2.
3. nse 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 numberi:·------------------------~---------------------,,-
6. I will provide some of the work, but I have contracted
of work) •• ·_ -----------+---:::.,.,_-=~--.:S....:::::--,'----,H-=g:=---,,'--Jl.------..--,::-----F,;!r-,(-,,<;l'-,f--l--.H'-1---;__------
PROPERTY OWNER SIGNATURE
. iilistIJ.&!BJ:ll:'
Is the applicant or future building occupant required to submit a business plan,· acutely hezardovs materials registration form or risk management and prevention
program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act?-· D YES O NO
Is the applicant or future building occ_upant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the feclllty to be constructed within 1,000 feet of the outer boundary of• school site? 0 YES 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.
~..B.lilmoo!f~""fl'f{~QU.,~~~21'~\l.\~fii1'ril:~ffl'D~"Y!ii~i•~f!i:•~iill!i-¥:':!J}i~111~::+r~i1.B~t\.iU:l
I hereby affirm that there is• 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 __________________________ _
~~-~'!Wer~~icr;m..~~~-r~~~,
I .certify that I have read the application end state ·that the above information la correct and that the information on the plans Is accurate. I agree to comply with all
City ordinances and Steta laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY _ANO 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 la required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. I • • • • •
EXPIRATION: Every permit issued by ttie building Official under th visions of this Code shall expire by limitation and become null and void if the building or work
authorized _by such permit is not com ed within 180 'ilays from e date of such permit or if the building or work authorized~ su •~ I usp nded or abandoned
at any time a~er the work is comme c for a period of 80 da~ ectio 106.4.4 Uniform Building Code). -f • {I (1 X.. APPLICANT'S SIGNATURE --/-...,!.iL--,i.:..L~~--I-I..C....:::=__::.._~..:::,._________ ATE --+----''----!------
( -PINK: Financ
City of Carlsbad Bldg Inspection Request
For: 10/13/2004
Permit# CB043401
Title: AWNING OVER ROLLING DOOR
Description:
Type: SIGN Sub Type:
Job Address: 2825 STATE ST
Suite: Lot 0
Location:
OWNER SATTERLY FAMILY TRUST 05-03-91
Owner: SATTERLY FAMILY TRUST 05-03-91
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone: 7607300040
'"''"""c-J2_
Requested By: AMY
Entered By: CHRISTINE
72 Awning _.&.e1_ ________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments