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HomeMy WebLinkAbout2510 GATEWAY RD; ; CB120344; Permit02-24-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBl20344 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2510 GATEWAY RD CBAD SIGN 0000000000 Lot#: $1,800.00 Construction Type: HOLY CROSS CHURCH-INSTALL WALL MOUNTED SIGN 0 NEW Status: ISSUED Applied: 02/24/2012 Entered By: KG Plan Approved: 02/24/2012 Issued: 02/24/2012 Inspect Area: Applicant: SEBASTIAN Owner: LARRY 3315 CADENCIA ST CARLSBAD CA 92009 760-213-4445 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 $44.14 $0.00 $30.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $75.04 Total Fees: $75.04 Total Payments To Date: $75.04 Balance Due: $0.00 Inspector: ^ OJJ^ FINAL APPROVAL Date: O^^S^lo Clearance: NOTICE: Please take NOTICE that approval of your projecft Includes the "Imposition* of tees, dedications, reservations, or other exactions herealter collectively referred to as fees/exactlons.' You have 90 days from the date this permit was Issued to protest Imposition of these fees/exactlons. li you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and liie 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 lollow 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 lo protest the specilied lees/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 tees/exactions of which vou have oreviouslv been given a NOTICE similar lo this, or as to which the statute of limitaiions has previousiv othenylsa expired. NJ!' CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 wvw.ca risbadca .gov • Plan Ciieck No Est. Value Plan Ck. Deposit SWPP JOBADDRESS _ « T-^ IO SUITE#/SPACE#/UNIT# APN - CT/PROJECT # LOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS I^j^'^^"^^/'J^ J ^ ^ |?l iT CO KjO ^ ''^''^ OCCGROUP ' r.-i-i u /2rjj DESCRIPnONOFWORK: /nc/ude Square Feet of Aire(^dArea(s; - . . . -• EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS YES • # NO • YES • NO • YES • NO • APPUCANT NAME (Secondary Contact) CAi)6Kici/i rr-ADDRESS CITY STATE ZIP FAX PHONE FAX EMAIL PROPERTVO^EI^E^^ CjdLU^CTlOyO LLC CONTRACTOR BUS. NAME "^^"^ POST Q>P^IC^ ^.o^^Scfi ADDRESS CITY STATE ZIP FAX • ~ PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LICK CLASS 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 permittofileasigned statementthathf • •• " *" * ~~~-Business and Professions Code) or that he is exempt there civil penalty of not more than five hundred dollars ($500)). applicantfor such permit to file a siBied statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Cnapter 9, commending with Section 7000 of Division 3 ofthe Business 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 a WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of peofury one of fhe killowing declarations: n 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 perfomiance of the work for which this pennit is issued. O I have and will maintain workers' compensation, as requiied by Section 3700 of the Labor Code, for the perfonnance of the work for whteh this pemiit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the pennit is fbr one hundred dollars ($1 (X)) or less. O Certificate of Exemption: I certify that in the perfomiance cf the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of Callkimia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto 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 attomey's fees. yCS* CONTRACTOR SIGNATURE •AGENT DATE OWHMR-BUitOeR PECLARATION / teeiiy affirm (haf / am exempf 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 stmcture is not intended or offered for saie (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, provkjed 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 dkl not build or improve for the purpose of sale). Il^ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professkins 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 Clontractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the pioposed property improvemenL GYes ONo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' Iksnse number): 4.1 plan to provide portions of the work, but I have hMd the following person to coonlinate, supervise and provkle the major work (include name / address / phone / contractors' license number): 5.1 will oteVkle some of the work, but I have contend Ifylfh) the following persons to provide the work indcated (include name / address / phone / type of wori(): IGPERTV OWNER SIGNATURE •AGENT DATE 0OMI»LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Secttons 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 pemilt from the air pollution control district or air quality management district? • Yes • No Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? OYes ONo 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 ANO THE AIR POLLUHON CONTROL DISTRICT. CONSTRUCTION LENDINQ AGENCY I hereby affirm that there is a construcfion lending agency for the performance of the work this permit is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CEBTIFICATION I ceitIV that I have read the applkatton and slate thatthe above Infbmiatkin is con«A and that the Infomi I hereby aulhorize representative of the Qty of Carisbad to enter upon Ihe above mentioned property Ibr inspecfon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILTTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pemit is required for excavatkins over S'C deep and demolitbn or constmction of staictures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building (Dflicial under Ihe provisbns of this Code shall expire by limitafion and become nul and voW if the bulldkig or authorized by such pemiit Is not comnnenced wllhin 180 days fiom the date of such pemiit or if the buiding or wort( authorized by such pemiltfe suspended or abandoned at any time after the vwirt< is commenced for a period of 180 days (Secfion 106.4.4 Unifonn Buikiing Code). >£^APPLICANT'S SIGNATURE DATE -Z-Z^-^ZOfZ^ City ofCarlsbad BIdg Inspection Request For: 03/27/2012 Permjt# CBl20344 Title: HOLY CROSS CHURCH-INSTALL Description: WALL MOUNTED SIGN Inspector Assignment: 2510 GATEWAY RD Lot: Type: SIGN Sub Type: Job Address: Suite: Location: APPLICANT SEBASTIAN LARRY Owner: OCEAN COLLECTION LLC Remarks: Phone: 7602134445 Inspector: Total Time: CD Description 38 Signs Requested By: LARRY Entered By: JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments