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Home My WebLink About1000 AVIARA PY; ; CB140283; Permit02-04-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB140283 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Titie: 1000 AVIARA PY CBAD SIGN 2120407000 Lot#: 0 $1,000.00 Construction Type: NEW COMMERICA: NEW ILLUM SIGN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/04/2014 JMA 02/04/2014 02/04/2014 Applicant: ADIMPACT 19772 MAC ARTHUR BLVD. STE.110 92612 949-476-0015 Owner: 1000 AVIARA HOLDINGS LLC 595 S RIVERWOODS PKWY #400 LOGAN UT 84321 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $27.10 $0.00 $18.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $46.07 Total Fees: $46.07 Total Payments To Date: $46.07 Balance Due: $0.00 Inspector: FINAL Date: _ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedicatioris, reservations, or other exactions hereafter collectively referred to as "fees/exactions," You have 90 days from the date this permit vnas issued to protest imposition of these fees/exactions, Ifyou 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 attacl<, 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING •BUILDING DFIRE •HEALTH •HAZMAT/APCD A CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No. \ Est.Vaiue^ / Plan Ck. Deposit Date 4^// (/ SWPPP JOB ADDRESS, SUITE«/SPACE*/UNIT* CT/PROJECT # PHASE # # OF UNITS # BEDROOMS DESCRIPTION OF WORK:/nc/ude Square Feet Of Affected Areais; # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|/> NOl I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLIOAN; ADDRES: /maryiContact;, APPLICANT NAIVIE (Secondary Contact; ADDRESS CITY ^ z. znr^ ZT^t [FAX CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAIME ADDRESS CITY ^ STATE _ ZIP ^ , - ^ 1^~/~AZ. [FAX CITY PHONE, EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# . - / (Sec. 7031.5 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 applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)). PENSATION Workers' Compensation Declaration: / hereby affirm under penalty ofpetjutyone ofthe following declarations: U 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 perfonnance of the worl< for which this permit is issued. 1^11 have and will maintain wor1(eis|^coniEa!!.sation, as required by Section 3700 of the Labor Code, for the performance onhe^orl( for which this oermit isjssued. My workers' compensation insurance earner and policy number are: Insurance Co._ Policy No. Expiration Date. This section need not be completed if the permit is for one hund»eq dollars ($100) or less. I I Certificateof Exemption: I certify that in the performanR o/the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectto the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' coirrneniiition coverage 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 compensatipirr^agiiagesjlstiii^vi^f^ij^ S^on 3706 ofthe Labor code, interest and attomey's fees. AGENT DATE nT ' 2-- ( ^ JS£ CONTRACTOR SIGNATUR O W N E R-B tl I t OE R DECLARATION thereby affinn that I am exempt from Contractor's Ucense Law for the follomlg.ieas^n: 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 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 projects with contractor(s) licensed pursuant to the Contractor's License Law). I I 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 pnjperty improvement. ^]Yes I iNo 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (tirm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (indude name / address / phone / contractors' license number); 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori( Indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE ;COMPt6TE THIS SiCTIO.N F O M H O * *• i try trtrri T- rt-; tin Is the applteant or future building occupant required to submit a business pljB^Seutely/iazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes yY"°^ y^'^ Is fhe applicanf or future building occupant required to obtain a pemifl^nijlje-Elirjollution control districf or air qujOfi management district? Yes /Ylto/ Is the facility to be constructed within 1,000 feet of the outer bounsfery of a school site? Yes /^Wo) '— 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. OjN STR y CTION LENDING AGINCX I hereby affirm that there is a constniction lending agency for the perfomiance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFiCATION I certif that I have read the applkadon and state thatthe above infonnation is conect and that the infonnation on the plans is accurate. I agree to comply with all Cl^ ordinances and State laws relating to building constnictkin. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF. OSHA: An OSHA permit is required fbr excavations ovepSD' deep and demolition or construction of stnjctures over 3 stories in height, EXPIRATION: Every permit issued by the Building OSMI ujider the provisions ofthis Code shall expire by limitation and beconne null and void if the building or v«)ri< authorized by such permit is not commenced within 180 days from the dale of such pemiitor if the buiki^(^v^ri< authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform BuikJing Code). >ei5"APPLICANT'S SIGNATURE DATE 4- -L STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(3)carlsbadca.qov or Mall the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUiLDING ADDRESS CITY STATE ZIP CiTY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANTS BUS. LiC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >eS'APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB140283 Type: SIGN COMMERICA: NEW ILLUM SIGN Date Inspection Item 07/14/2014 38 Signs 07/14/2014 38 Signs 07/14/2014 39 Final Electrical Inspector Act Rl PD AP PD AP Cornments EARLY PM PLS UNIT 104 Monday, July 14, 2014 Page 1 of 1