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HomeMy WebLinkAbout2635 GATEWAY RD; 103; CB111535; Permit07-13-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB111535 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 2635 GATEWAY RD CBAD SIGN 2131911100 Lot#: $4,000.00 Construction Type: VERIZON WIRELESS- 2 NEW SIGNS ILLUMINATED WALL SIGNS 0 NEW Status: ISSUED Applied: 07/13/2011 Entered By: RMA Plan Approved: 07/13/2011 Issued: 07/13/2011 Inspect Area: Owner: LNR CPI BRESSI RETAIL L L C C/O LNR PROPERTY CORP 4350 VON KARMAN AVE #200 NEWPORT BEACH CA 92660 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 $63.21 $0.00 $41.09 $0,00 $20.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $124.30 Total Fees:$124.30 Total Payments To Date:$124.30 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions," You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Appli 1635 Faraday Ave., Carlsbad, CAV ' i "J> 760-602-2717/2718/27 """All! "R *\ n> Fax: 76°-602-8558 V^* »i\l ^J{**%F^ wvwv.ca risbadca .gov JOB ADDRESS^ ^ £> «_f- ^ «_.> AJJL j ^ CT/PROJECT* LOT# PHASE* # OF UNITS # BEDROOMS rotinn Plan Check No. ( J) I [ 1 <J$ 5 92008 Est. Value *~£([)j$O 19 ' ' ^ Plan Ck. Deposit (Mi Date 7 /[i/ n swpp SUITE#/SPACE#/ONIT# APN ) o 3 # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1 *\i4-4.Y\ £( IS ^ inT«.1")Of » 1\ L? rKTiAATt/F iO< \ i ^ 1C r>£ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # - PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME \ t\ ADDRESS «J era _. STATE ZIP PHONE ^0 FAX EMAIL CONTRACTOR BUS. NAME j_ ADDRKS ^ CIT^ -^ STATE ZIP PHONE Q FAX EMAIL STATE LIC.# CUSS CITY BUS. LIC.# .. "7 *? ^ 8«S/ Gf<\&~ / ll' 5 f^)_j"oiJr (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 is/uance, also requires the *^ appjicant 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: ; hereby affirm under penalty of perjury one of the following declarations: LJ 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. HhTfiave 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' compensator! insurance carrier and policy number are: Insurance Co. 5a<fr- tV« P t-\ *•"» ^- _ Policy No. \ "1 \ \ IS .X % _ Expiration Date J - 3 - } £m- This section need not be completed if the permit is for one hundred dollars ($1 00) 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 addition to the cost of compensation, damage^ as provided for in Section 3706 pf the Labor code, interest and attorney's fees. ^CONTRACTOR SIGNATURE //__ __ / hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). O 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 contractors) licensed pursuant to the Contractor'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 proposed property improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / co ntractors' 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 / address / phone / 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 / address / phone / type of work): ygfpROPERTY OWNER SIGNATURE DAGENT DATE ;>••«» «V • ,K Z'^-^^J-jJ^ '•' -'r T;'T --^S^^ Is the applicant or future 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? C3Yes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes Q No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No IF ANY OF THE ANSWERS ARE YES, t • 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 I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property 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 permit is required for excavations over 50 deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 08/01/2011 Permit# CB111535 Title: VERIZON WIRELESS- 2 NEW SIGNS Description: ILLUMINATED WALL SIGNS Sub Type: 2635 GATEWAY RD Lot: Type: SIGN Job Address: Suite: Location: OWNER LNR CPI BRESSI RETAIL L L C Owner: LNR CPI BRESSI RETAIL L L C Remarks: Inspector Assignment: TP Phone: 6199540171 Inspector: Total Time: CD Description 19 Final Structural 39 Final Electrical Act Comments Requested By: JIM Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of2 Of Lic< Contractor's License Detail - License # 799881 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entity^ . JssueJDate Expire Date 799881 Extract Date: 7/13/2011 ULTRASIGNS INC 9025 BALBOA AVENUE #150 SAN DIEGO, CA 92123 License Status Classifications: Bonding: ^ jDorporaton ____ JjKD/02/2001 ______ I_____ 10/31/2011 This license is current and active. All information below should be reviewed. Workers' Compensation: CLASS C45 DESCRIPTION ELECTRICAL SIGNS CONTRACTOR'S BOND This license filed Contractor's Bond number 142299 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1. This license filed Bond of Qualifying Individual number 142300 for HADAYA GHASSAN YOUNAN in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 BQI's Bonding History This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1711028 https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 07/13/2011 Check a License - Contractors State License Board Page 2 of 21 r » Effective Date: 05/01/2003 Expire Date: 05/01/2012 Workers' Compensation History Personnel List Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlmeServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 07/13/2011