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Home My WebLink About2641 GATEWAY RD; 101; CB120978; Permit05-24-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CBI20978 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2641 GATEWAY RD CBAD St: 101 SIGN 2131912500 $1,000.00 Lot#: Construction Type: 5B PICK UPSTIX TWO ILLUMUINATED WALL SIGNS AND ONE BLADE SIGN Status: Applied: Entered By: Plan Approved: Issued: inspect Area: ISSUED 05/24/2012 MDP 05/24/2012 05/24/2012 Applicant: P.S. SERVICES SUITE B 316 E DYER RD 92707 714-513-1870 Owner: REGENCY BRESSI LLC c/o CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 SANTA MONICA CA 90401 Building Permit Add1 Building Permit Fee Plan Check Add'! Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $27.10 $19.00 $18.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $65.07 Total Fees: $65.07 Total Payments To Date: $65.07 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Impositior' 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 tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project, NOR DOES IT APPLY lo any fees/exadions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute ot limitations has oreviouslv otherwise expired. CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad. CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. |^ - Q) Est. Value Plan Ck. Deposit Date SWPP JOBADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT# .ASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: ;nc;ucfe Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO # NO • AIR CONDITIONING YES •NOD FIRE SPRINKLERS YES •NOD APPLICAf^ NAME (Primary Contact) APPLICANT NAME (Seconcfary Contact) ADDRESS ADDRESS CITY STATE CM ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME PS- s ADDRESS ZIP ADDRESS CITY STATE CITY STATE C4 ZIP PHONE FAX PHONE ME . FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # cmss CITY BUS. LIC.« (Sec. 7031.5 Business and Professions Code: Any City or County viihich 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 ofthe Contractor's License Lav/(Cnapter 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)). Workers'Compensation Declaration: I tiereby affirm under penalty olperjufll^e of Itie following declarations: Cl 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 tor which this permit is issued. ,S-JJiave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Tt-A.\/<r I £irPf-<gp d^^SOCii-H^ Policy No. U g 6 .^03-^. ivS Expiration Date _(^S^g/BlBm—i€}^4-//^ I hundred dollars ($10~5}c This section need not be compieted if the permit is tor one h undred 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 notempioy 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 employerto criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama^e^s provided^r in SeytiofflZOe^^the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's Ucense Law lor tbe foliowing reason: • I, as owner of the property or my employees wilh 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 worit 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 wilh licensed contractors to construci the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ownerof property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • 1 am exempl 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. • Yes • No 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracled with the following person (firm) to provide the proposed construction (include name address / phone/contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the worl(, bul I have contracted (hired) the following persons to provide the m& indicaled (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupanl required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505. 25533 or 25534 ot the Presley-Tanner Hazardous Substance Account Act? • Yes • No Is the applicant or future building occupanl required to obtain a permit from Ihe air pollution control districl or air quality management dislricl? • Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes • No 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 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 certiythatl have read the application and state that the above information is con^and thatthe infomiation on the plans is axurate. I agree to complywith all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND E;«^ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CflY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is required for excavations over 50' deep and demolition a constmction of structures over 3 stories in heighL EXPIRATION: Every pemiit issued by the 0uilding Official under the precisions of Hits Code shall expire by limitaton and become null and void if the building or worit authorized by such pennit is not commenced within 180 days from the date of such pemiil or if the building or worit authorized by suctipeBnitissuspended or abandoned at any time after the worit is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code). ^e^APPLICANT'S SIGNATURE ^-"^^ y/Z- J 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) 602-5550, Email wwM.builcliriq@cart5badca,t]0v or Mail Ihe compleled form to Cily of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS • PICKUP; • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION .ef APPUCANT'S SIGNATURE DATE Inspection List Permit#: CB120978 Type: SIGN PICK UPSTIX TWO ILLUMUINATED WALL SIGNS AND O Date Inspection Item Inspector Act Comments 11/28/2012 38 Signs MC Fl PER PLAN 09/13/2012 38 Signs MC CO NO PLANS, LADDER Tfiursday, November 29, 2012 Page 1 of 1