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Home My WebLink About2801 ROOSEVELT ST; B; CB143232; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-24-2014 Sign Permit Permit No: CB143232 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2801 ROOSEVELT ST CBAD St: B SIGN Status: Parcel No: 2031810700 $650.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: CARLSBAD VILLAGE YOGA -1 WALL SIGN ILLUMINATED WESTERN SIGN & AWNING OBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARCOS CA 92078 760 736 6070 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: DEWHURST FAMILY TRUST 03-13-90 3425 SEACREST DR CARLSBAD CA 92008 ISSUED 11/19/2014 SKS 11/24/2014 11/24/2014 $18.67 $0.26 $13.07 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: FINAL APPROVAL Date 'f, Zf-1~ Clearance: $0.00 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 n f w h v r vi I b n i N Tl E i r !hi hi h h f limi h h rw· THE FOLLOWING APPROVALS RECJUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Ccicyof Carlsbad JOB ADDRESS CT/PROJECT# CITY CITY EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEI/UNITI # BEDROOMS # BATHROOMS GARA ~) PATIOS (SF) DECKS (SF} CITY PHONE EMAIL Plan Check No. Est. Value CLASS □HEALTH □ HAZMA TIAPCD CONSTR. TYPE OCC. GROUP 08 (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 per_mit 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 e)(empt therefrom, and the basis for the alleged e)(emption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: B 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. I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for whk:h this permit. is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ ~section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING; Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addlUon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees . .a$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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 e)(clusively 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 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. 0Yes 0No 2. \ (have I have not) signed an application for a building permit for !tie proposed work, 3. I have contracted with the followil'lQ person (firm) to provide the proposed construction (include name address I 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 I address I 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 I address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE • Is the applicant or future buikling occupant required to submit a business pm,. ly hazardous materials reg. istration form or risk management and prevention ~der Sections 25505, 25533 or 25534 of the Presley.Tanner Hazardous Substance Account Act? Yes · No Is the applicant or future building occupant required to obtain a permit from llution control district or a1~1 nagement district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school s~e? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U E APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certtfy that I have read the application and state that the above information Is conectand that the lnfonnatlon on the plans Is accurate. I agiee to comply with all City ortlinances and State law.; relating 1D building construction. I hereby authorize representative oflhe City of Carlsbad to enter upon the atxJve mentioned property klr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGJ\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGJ\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA penntt is required for excavations over 5'0' deep and demolition or construction of structures OYef 3 stories in he'ijht. EXPIRATION: Every pennlt issued by the Buik::ling Offcial under the provisbns of this Oxle shall expire by limitation and berome null and vok:l W the buik::ling or v.olll. authorized by such permit is not commenced 'Mthin 180 days from the date of soch penn· r if the building orw:irk autho · by such pennlt is suspended or abandoned at any time after the w.:illl. is commenred for period of 180da {Eection 100.4.4 Unifonn Building Oxle). AS APPLICANT'S SIGNATURE DATE 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 bui1ding@carlsbadca.gov or Mail the completed fom1 to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Onty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. .1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------~ ,65 APPLICANT'S SIGNATURE ASSOCIATED CB#'------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • • Inspection List Permit#: CB143232 Date Inspection Item 04/27/2015 38 Signs 04/27/2015 38 Signs 04/27/2015 39 Final Electrical 04/27/2015 39 Final Electrical Tuesday, April 28, 2015 Type: SIGN Inspector Act PB PB RI AP RI AP CARLSBAD VILLAGE YOGA -1 WALL SIGN ILLUMINATED Comments Page 1 of 1