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Home My WebLink About1005 CARLSBAD VILLAGE DR; G; CB031633; Permit06-12-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB031633 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant LEE'S SIGN CO 1005 CARLSBAD VILLAGE OR CBAD SIGN Lot# 0 $2,400 00 Construction Type NEW CARLSBAD VILLAGE CLEANERS 24 SF ILLUMINATED SIGN Owner Status Applied Entered By ISSUED 06/12/2003 SB Plan Approved 06/12/2003 Issued 06/12/2003 Inspect Area 2116 SEAMAN AVE 91233 626-258-2977 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 TOTAL PERMIT FEES $4579 $000 $2976 $000 $000 $000 $000 $000 $000 $7555 Total Fees $7555 Total Payments To Date $000 Balance Due*$7555 ti\\ V.s QIU$ ^JUE"$!L« 02 PERM" H'1:,!:>;riHEOINACCORDANCE!WffHU.9.C. SECi!UdiU6A4 DATE_i-»\*I ^ SIGNATURE /&A/- ^- Inspector FINAL APPROVAL Date 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 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 witli 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 m connection with this protect NOR DOES IT APPLY to any fees/exactions of which you have previously.been given a NOTICE similarlo this, or as to which the statute of limnalion_s._has previously otherwise expired PERMIT APPLICATION ,CITYJOF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL n OO Plan Ck Deposit Validated Date Business Name (at this address)cLegal Description Assessor's Parcel Existing Use P/oposed Use Description of Work 2 CONTACT PERSON (if.different frorrl applicant),. SQ FT #of Stones of Bedrooms # of Bathrooms Name Address "Contra'ctor"""D "A^e^rfor'Co'fitractor' ~~City Owner D "AgenUoTp wne-- State/Zip Telephone #Fax It Name S~"ZPROPERTY"OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone ft (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 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 basts for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS500]) Name -T^Y A "7 State License ft /H ^C V • i Address CM) License Class cC-4-"Z? City State/Zip City Business License # Tefephone tt Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided bv Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued f5ZF | 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 earlier and policy number are , Insurance Company ^Wt \-& f-TlHO Policy No f fa h | P 9 ^7 "Q"2x Expiration Date | I ~O [ ^^3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100] OR LESS! Q 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 civil 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 SIGNATURE „ DATE hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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 sijch 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 stjid 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 salej Q 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 o! property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) Q 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 Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 | have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 | 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 number) __^_ 5 | 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 [COMiPLETE JHISjSECfVSNfORlVON-RES/DEJIVTMl" BUnFlN G Is the applicant or future building occupant required to submit 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJ YES CJ 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 THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT l9*3rpO^STRUCTr6N\ENDINGjftGEN™CY 1. ^1™"1I.™ ^_™riTTr™VjIIJ~ _1^,T..« T — 'Z, ".. - L.i . - _ _ *-™J»- -'- --I— _''__, J 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) I.ENDER S NAME LENDER'S ADDRESS, I certify that I have read the application and 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 City of Carlsbad to enter upon the above mentioned Broperty for inspection purposes 1 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 excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 butlding or work authorized by such permit is not commenced within 180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 1gO-djiys (Section 10644 Uniform Building Code) APPLICANT S SIGNATURE DATE <WHITE File YELLOW Applicant PINK Finance City of Carlsbad Novembers, 2003 Building Department Permit Number CB031633 Issue Date 6/12/03 LEE'S SIGN CO 2116 N SEAMAN AVE STE A SOUTH EL MONTE CA 91733 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN ADDRESS: 1005 CARLSBAD VILLAGE DR PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 12/9/03 The provisions of UBC, Section 106 4 4 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 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of 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 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of 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 180 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 180 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 person holding an unexpired permit may apply for an extension of the 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 The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once 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 (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 Department at (760) 602-2700 PAT KELLEY Building and Code Enforcement Manager 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (760) 602-27OO • FAX (76O) 602-856O CO COMPENSATION U R AN C£ FUND PO BOX 807, SAN FRANCISCO,CA 94,101-0807 CERTIFICATE OF ,WORKERS' COMPENSATION INSURANCE ISSUE DATE 11-01-02 POLICY NUMBER 1661655 - 02 CERTIFICATE EXPIRES 11-01-O3 CONTRACTORS STATE LICENSE BOARD WORKERS.COMPENSATION UNIT P 0 BOX 26000, l ,.- * SACRAMENTO CA,95826 > - . JOB #794860 r INCEPTION DATE 11-01-O2 D 0 LOS ANGELES This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by'the Fund except upon 10 days' advance written notice to the employer > * •• ' We will also give you 10 days' "advance notice should this policy be cancelled prior to its normal expiration * ' ' ' " "This certificate of insurance-is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding anyt requirement, term or condition of any contract or other documentwith respect-^to which this certificate of* insurance may be issued or may pertain, the insurance afforded^by the - policies described herein is subject to all the terms, exclusions and conditions of such policies • y PRESIDENT - , EMPLOYER'S* LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000. OOO 00 PER; OCCURRENCE~ v, - £ .STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY ,» . ' „ EMPLOYER .X *>LEGAL NAME LEE'S SIGN CO »1 2116 N SEAMAN^AVE STE ^A SOUTH EL MONTE CA 91733 YI.KIL JAE THIS DOCUMENT HAS.A BLUE PATTERNED BACKGROUND PRINTED. 10-17-02 PQ4Q9 SCIF 10265 (REV, 2-01)