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HomeMy WebLinkAbout2623 GATEWAY RD; 104; CB154222; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-03-2015 Sign Permit Permit No: CB154222 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: FX SIGNS Building Inspection Request Line (760) 602-2725 2623 GATEWAY RD CBAD St: 104 SIGN Lot#: 0 2131910900 $2,000.00 Construction Type: NEW LEAF: ILLUM WALL SIGN-8 SF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: REGENCY BRESS! L L C ISSUED 12/03/2015 SLE 12/03/2015 12/03/2015 570 E. LA CADENA DR STE 1A C/0 CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 RIVERSIDE CA 92507 951-683-2500 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 SANTA MONICA CA 90401 $43.76 $0.00 $30.63 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $74.39 Total Fees: $74.39 Total Payments To Date: $7 4.39 Balance Due: Inspector: FINAL APk~~VAL Date: v--· · l-UI~ Clearance: $0.00 NOTICE: Please take NOTI that a roval of your project inciudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter oollectively referred to as "fees/exactions." You h ve 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 a=rdance 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 oonnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in oonnection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE sirrilar to this or as to which the statute of li itations has reviou I otherwise ex 'red. 0PLANNING 0ENGINEERING Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov CJ BUILDING OFIRE OHEALTH 0HAZMATIAPCD Est. Value Plan Ck. Deposit SWPPP #BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I <S/5-r O,C" /Ll/f'o...-IINRT!3-0 t017t/ 8 I fEN 71J Rl517D:· L~19F ,i/1/ff· eNi.Jqi:/Tl7fV· PNO FR~ EXISTING USE PATIOS (SF) APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # AIR CONDITIONING YES0No0 OCC. GROUP FIRE SPRINKLERS YESONoO (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 basis 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 {$500}). Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. and will maintain workers' compensation, as required by S ction 3700 oft Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins ranee carr number are: Insurance Co. -7 H '1'-1 Policy No.~C./IJ ZO ?£ Expiration Date "'--"7.....,""""'-'<-T-....,.,...'+-"-"" This section need not be completed if the permit is for one hundred dollars ($1 00) 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' 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 code, interest and attorney's fees. _KS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 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). 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 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I contractors' license number): 4. 1 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 I contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): _KS PROPERTY OWNER SIGNATURE DATE I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I 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 penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penn it issued by the Building Official under the this Code shall expire by limitation and become null and void if the building or v.ork authorized by such penni! is not commenced within 180 days from the date of such penn it or if the building orv.ork · is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ,€5 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. CIERTI.fiCAT!E Of OCCUPANCY (Commercial Projects 0 nly I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS fciry-· -STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION MAIL I FAX TO OTHER: CHANGE OF USE I NO CONSTRUCTION Rf APPLICANT'S SIGNATURE DATE lnspecti List Permit#: CB154222 Date Inspection Item 05/03/2016 38 Signs 05/03/2016 38 Signs 05/03/2016 39 Final Electrical 05/03/2016 39 Final Electrical Wednesday, May 04, 2016 Type: SIGN Inspector py PY LEAF: ILLUM WALL SIGN - 8 SF Act Comments Rl PM PLEASE AP Rl PM PLEASE AP Page 1 of 1