The URL can be used to link to this page

Home My WebLink About1905 CALLE BARCELONA; 206; CB163291; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-26-2016 Sign Permit Permit No: CB163291 Building Inspection Request Line (760) 602-2725 Job Address:1905 CALLE BARCELONA CBAD St: 206 Permit Type:SIGN Status:ISSUED Parcel No:2550120400 Lot #:0 Applied:08/26/2016 Valuation:$2,000.00 Construction Type:NEW Entered By:JMA Reference #:Plan Approved:08/26/2016 PC #:Issued:08/26/2016 Project Title:DELICATE DENTAL: NEW SIGN Inspect Area: Applicant:Owner: WESTERN SIGN & AWNING T-C FORUM AT CARLSBAD L L C DBA STANFORD SIGN & AWNING C/O TIAA-CREF 261 S PACIFIC ST 4675 MACARTHUR CT #1100 SAN MARCOS CA 92078 NEWPORT BEACH CA 92660 760 736 6070 Building Permit $43.76 Add'I Building Permit Fee $0.00 Plan Check $30.63 Add'I Plan Check Fee $0.00 Electrical Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $74.39 Total Fees:$74.39 Total Payments To Date:$74.39 Balance Due:$0.00 loft iktft \V -C_C\ACY-)C GB*. 14'04411 MO 'k()\r)AD NCGO:43,ti GAS- ottfikt°IS Tt C' S 10°4pECOM SECIV°14106.4.4 FINAL APPROVAL Inspector:Date:Clearance: NOTICE:Please take NOTICE that approval of your project indudes 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 in-position 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/exadions 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 you have previously been given a NOTICE similar to this. or as to vvilich the statute of limitations has previously otherwise expired. •THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING DENGINEERING D BUILDING DFIRE D HEALTH DHAZMATIAPCD (' .Building Permit Application Plan Check No.C..430.• 32.91/k_ City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value (.9 006Ph: 760-602-2719 Fax: 760-602-8558 ICarlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carisbadca.gov Date gr,2.47 .((p SWPPP JOB ADDRESS iqo e3 &I le 13 Irce.t r)(X • SUITEB/SPACEII/UNIT• oc.. APN --- CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP Det'l cafe Ctiritria DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)f ‘ L (i C0.12.III U al(nalect Ccbtf2Q.S tc(LA • EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESDit NOD YES ONO0 YESD NOD APPLICANT NAME PROPERTY OWNER Primary Contact 1-jaakA7.1)2,7:1-0 R636Pre (12i3 TQA.12.45 jafil (4 f(11-€: ADDRRS,3 s cknc...toekvviL.8.4r.17.0 poi126 cleADDRESS Satliti2. cto vt-t-bretCttir4- CITY STATE ZIP CITY A ..ATE .,ZIP kk t pryvitita becAii k ek.,3 06Ocli PHONE FAX PHONE I FAX 4 * (07g 3 5940 Co"-jg o So 3 -7 EMAIL EMAIL DESIGNS PROFESSIONAL CONTRADDRESSACTOR BUS. NAME ..• Westeirk Sicit4 A ACOnil—AD C9(0(S .9al C St • CITY STATE ZIP CITY b.••an nretv co S 30-,STATE ZIP-b ci PHONE FAX PHONE FAXt- 7g 760 736.6076 76.o 736.6073 EMAIL EMAIL STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.# 863576 045 I 224G acr (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 theapplicant 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 theBusiness 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 for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500}). WORKERS'COMPENSATION Workers' Compensation Declaration: / hereby affirm under penaltyofperjury one of the following declarations: Rl_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. 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 workers' compensation inTranie carrier and policy number are: Insurance Co.T%(i0.V-ee-g-r5 Policy No.tieScioS ocu.4 9.-Ito Expiration Date 14 p i 7 This section need not be completed if the permit is for one hundred dollars ($100) or less.0 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 .-•.—ection 3706 of the Labor code, interest and attorney's fees. AS CONTRACTOR SIGNATURE AI `AGENT DATE l i W. I4,E I/...-E O I I.Co E R •'CI EC I. .AR.A T4110N .: -.......-:i..••:*5 ;:‘..--t.-.-4.••••.-.1..:.:„...:;.....•••:••---- ...............;.,...;.:..:....•.••:.f...:•.,...4 I hereby affirm that I am exempt from Contractor's License Law for the following reason: EiI,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).DI,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). 0 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.DYes ON° 2.I (have/have not) signed an application for a building perrnit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license 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 / contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): AIKPROPERTY OWNER SIGNATURE DAGENT DATE ae.1G .,..,• 15...t - T.:5.}-3 :•3 •:4?.1•;'.:e'-.1--c.)If:SO .;3.;It -,f-), -5 _• Is the applicant or future building occupant required to submit a business plan utely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?Cl Yes No Is the applicant or future building occupant required to obtaina permit fro the air pollution control district or air qu 'management district?Cl Yes PNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Cl Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ..... J'•PLICA#rJT'tERTIF1.C'A'Ti0 11•'r •. Icertify thatI have read the application and state thatthe above information iscon ectand thatthe intonation on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO 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 60' 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 authorized by such permitis not commenced within 180 days from the date of such permit or if e build rk authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE DATE g 1 6(:)I(co /- troi;). 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 buildingRcarlsbadca.qovor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#MAIL TO:13 CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION ASAPPLICANT'S SIGNATURE DATE