HomeMy WebLinkAbout1763 LUPINE RD; ; CB072552; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-03-2007 Sign Permit Permit No: CB072552
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type
Parcel No
Valuation:
Reference #:
Project Title:
1763 LUPINE RD CBAD
SIGN
0000000000 Lot#:
$15,000.00 Construction Type:
AVIARA MONUMENT SIGN
NON ILLUMINATED
0
NEW
Applicant: Owner:
JOHN D. HEBERT
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
Total Fees. $248.74 Total Payments To Date:
Inspector:
FINA
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/02/2007
LSM
10/02/2007
10/02/2007
$150.75
$0.00
$97.99
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$248.74
$248.74 Balance Due:
Clearance:
$0.00
NO TICE Please take NOTICE 1hat approval of your project includes the "Im position" of fees. dedications, reservations, or other exactions hereafter collectively
referred to as ··teeslexact1ons" You have 90 days from the date 1his permit was issued to protest imposition of these fees/ex.actions. If you protest them, you must
follow the protest procedures set for1h 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 1mpos1t1on
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 slexac I n of wh1 h O hav r VI I n IV n N Tl E s'm1lar \ I I r h' h h I Ii I \' n I h rwi
City of Carlsbad Plan Check No. ~O 7 :;µ;s-~
16'.;35 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
Building Permit Application ,e.
DESCRIPTION OF WORK:
=r,:· =i PHASE# , • OF UN'J #BEDROO
7 Y-. \
EXISTING USE PROPOSED USE GARAGE (SF)
Est. Value /£ eou
Plan Ck. Deposit
Date / O /:.-/ o "?
APN
-"':::MS JTENANTBUS,NESS NAME·--------~cONsTR, TYPE CC. GROUP
PATIOS (SF) DECKS (SF) FIREPLACE
............ ~:---------------------............... ...1. _________________ _
~:~TAJ~}!~/" Dl~e,e~~~~ App/leant) ---------APPLICANT NAME
YES □# __ NO □
AIR CONDITIONING
YES O NOD
FIRE SPRINKLERS
YES D NOD
ADD~-' ADDRESS
CITY STATE ZIP CITY ----·------------,S"T'"'A"TE~---------;Z"'IP,------------
PHONE FAX PHONE FAX
EMAIL EMAIL
!Sec. 7031.S Business and Profmions Code: Any City or County which requiru a permit to conitruct. alter improve, demolnh o, reeair any structore prior to in iuuance, also requim the applicant for rnch permit to ~le a signed statement that he is icensed _J11111uant to the prov111on1 of the Con1ractor'1 License law {Chapter 9, commending with Secrion 1000 of Division 3 of the Business and Professions Code} or that he is txempt therefrom, and the basis for the allegtd exemprion. Any violation of ect1on 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {SSOO}).
Workers' Compensation Declaration: / hereby affirm under penaMy 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 wlll 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 nol be completed if the permit is for one hundred dollars ($100) or less
D Certificate of Elemption: I certify Iha! 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 ts unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred tflousand 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.
c· ~ D. ~~ DATE /o~;;.. -o --r
I hereby affirm that I am exempt from Contractor's License Law for /he following reason
□ I. as owner of the property or my employees wilh wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business arid Professioris Code: The Contractor's
Licerise Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or 1hrough his own employees, provided that such improvements are not inlended 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 construe! 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 con1ractor(s) licensed pursuan11o the Contractor's License Law)
□ I am ex11mp1 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/ have not) signed an application for a building permit for the proposed work.
3. I have contracled with the following person (firm) to provide the proposed construc1ion (include name address/ phone/ contractors' license number):
4. I plan to provide por1ions of the work, but I have hired !he following person lo 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 contrac!ed (hired) the following persons lo provide the work indicated (include name I address / phone / type of work):
,/!S PROPERTY OWNER SIGNATURE DATE
Is the applicant or ft1ture 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? □ Yes □ No
Is the applicant or fulure building occupan! required to obtain a permit from the air pollution control dis1ricl 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the applfcatlon and state that the above information lsooirectand that the Information on the plans ls accurate. I agree tooomplywith all City ordinances and State laws relating to buildingoonstruction.
~hereby aulhorize representative of the City of Cartsbad 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm[ is required for excavations over S'0' deep and demolmon or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by lhe Building Official under lhe provisions of this Code shall expire by limitation and become null and void W the building or work authorized by such pem,it is not commenced within
180 days from the date of such permit or W the b ilcling or work authorized by such perm[ is suspended or abandoned at any tine after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 09/22/2008
Permit# CB072552
Title: AVIARA MONUMENT SIGN
Description: NON ILLUMINATED
Type:SIGN Sub Type:
Job Address:
Suite:
1763 LUPINE RD
Lot:
Location:
APPLICANT JOHN D. HEBERT
Owner:
Remarks: sign final
Total Time:
0
CD Description
38 Signs
~omments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection History
Date Description Act lnsp Comments
08/06/2008 63 Walls AP PC GROUT
06/27/2008 11 Ftg/Foundation/Piers AP PC
Inspector Assignment: PC ---
Phone: 7608894692
Inspector: ~
of D If"\ \ \AA P A-
Requested By: JOHN
Entered By: CHRISTINE
06/25/2008 11 Ftg/Foundation/Piers co PC NOT PER APPRVD PLAN
12/20/2007 19 Final Structural co PC UNABLE TO LOCATE