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Home My WebLink About2635 Gateway Rd; 101; CBC2017-0207; PermitPrint Date: 06/12/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2635 Gateway Rd, 101 BLDG-Commercial 2131911100 $ 0.00 Commercial Permit Work Class: Repair Lot#: Reference#: Construction Type Bathrooms: Orig. Plan Check#: Plan Check #: Description: GATEWAY DENTAL: REPAIR DAMAGED STOREFRONT FROM CAR ACCIDENT Applicant: RON BARTLO 19522 Jasper Hill Rd Trabuco Canyon, CA 92679-1194 949-459-9494 FEE MANUAL BUILDING PERMIT FEE Total Fees: $ 195.00 Owner: REGENCY BRESSI LLC 100 Wilshire Blvd, 700 SANTA MONICA, CA 90401 Total Payments To Date : $ 195.00 (city of Carlsbad Permit No: CBC2017-0207 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Closed -Expired 05/02/2017 05/03/2017 AMOUNT $195.00 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG DFIRE DHEALTH 0HAZMATIAPCD Ccityar Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.Ce:£'. 2 D /"1-0201- Est. Value Plan Ck. Deposit Date z-(1 JO APN #BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /?Jl~/fll< tJtf/v/#~t?~ t+~~t.1/JT GARAGE (SF) PATIOS (SF) ADDRESS CITY STATE ZIP PHONE FAX EMAIL (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 LawjChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS" COMPENSATION Workers' CompensaUon DeclaraUon: I hereby affirm under penalty of perjury one of the following declarations: ~ 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, required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo PolicyNo. ~T\..vC1C,70~b Expiration Date 09/30 01217 This section need not be completed~ the pe ~ is for one hundred dollars ($100) or less. D 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), ln addition to the cost of compensation, damages as pro ided for In Section 3706 of the Labor code, Interest and attorney's fees. K! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractors 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. 0Yes 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 (firm) to provide the proposed construcUon {include name address I phone I 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 I 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 I phone I type of work): K! PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE 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 form or risk management and prevention program under 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 the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 1$ MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the a bow Information Is oorrect and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building oonstruction. I hereby au~olize representative of the Cfy of Ca!lsbad to enter upon the above menliooed propeny for ilspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C[TY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C[TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the au· Official under the rovisions of lhis Code shall expire by fmitation and become null and void if the building orv«>rk authorized by sudl permit is not commenced v.,tt,in 180 days from the date of sudl pennit or· uilding or"MJrk ed by such rmit is suspended or abandoned at any time after the work is commenced for a perkxl of 180 days (Section 106.4.4 Uniform Building Code). AJ:S' 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/FAXTOOTHER: ________________ ~ A5°APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. UC. No. ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE I NO CONSTRUCTION DATE -;11•.:,\/ :; • :PERMIT INSPECTION HISTORY REPORT (CBC2017-0207) . ' . Permit Type: BLDG-Commercial Application Date: 05/02/2017 Owner: REGENCY BRESSI LLC Work Class: Repair Issue Date: 05/03/2017 Subdivision: Status: Closed -Expired Expiration Date: 11/07/2017 Address: 2635 Gateway Rd , 101 Carlsbad, CA 92009 IVR Number: 3445 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 05/05/2017 05/05/2017 BLDG-84 Rough 022456-2017 Passed Peter Dreibelbis Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical Yes 05/09/2017 05/09/2017 BLDG-18 Exterior 022614-2017 Passed Peter Dreibelbis Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 022613-2017 Failed Peter Dreibelbis Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 05/11/2017 05/11/2017 BLDG-17 Interior 023066-2017 Passed Peter Dreibelbis Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes June 12, 2018 Page 1 of 1