HomeMy WebLinkAbout2641 GATEWAY RD; 102; CB130916; Permit04-08-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB130916
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2641 GATEWAY RD CBAD St 102
SIGN
2131912500 Lot#
$8,000 00 Construction Type
PURE BURGER- INSTALL 2
ILLUMINATED WALL SIGNS
0
NEW
status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/08/2013
LSM
04/08/2013
04/08/2013
Applicant
ALL STAR SIGNS INC
SUITE B
1845 S CENTER CITY PKWY 92025
746-6555
Owner
REGENCY BRESSI LLC
c/o CORNERSTONE REAL ESTATE ADVIS
100 WILSHIRE BLVD #700
SANTA MONICA CA 90401
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
$107 27
$0 00
$75 09
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $182 36
Total Fees $182 36 Total Payments To Date $182 36 Balance Due. $0.00
Inspector
FINAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" cf fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this permil was issued to protest imposition of these fees/exactions If you protest them, you must
follov^ the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information vKith 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 nght to protest the specified fees/exactions DOES NOT APPLY lo water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proiect NOR DOES IT APPLY to any
fees/exaclions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othen/^ise expired
THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email buldling@carlsbadca gov
www carlsbadca gov
Plan Check No.(2g) / '^O'^ ' ^
Est. Value ^, OOO
Plan Ck. Deposit
Date td SWPP
JOB ADDRESS
|LOT# i?HASE tf
SUITE#/SPACE#/lJNIT(f CE#/lJNIT(f
CT/PROJECr # # OF UNITS « BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s)
c^ uocL\y 6
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOO
FIRE SPRINKLERS
YES • NO •
APPLICANT NAIVIE (Primary Contact) APPUCANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
ElVIAIL EtulAIL
PROPERTY OWNER NAME /m CONTRACTOR BUS NAME
ADDRESS
• CTfiTP TTD
ADDRESS
CITY STATE
PHONE FAX
ZIP CITY STATE ZIP
PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS CITY BUS UC#
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair any structure, pnor 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 Law (Chapter 9, commending with Section 7000 of Division 3 ofthe
Busmess 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 / hereby aflinn under penalty of perjury one ofthe following declarations
n I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Laboi Code, forthe pertormance ofthe work for which this pennit is issued
S^ave and will maintain workers' compensation as remired by Section 3700 of the Labor Code, for the performance of the work for whjch this peiral isjssued My workers' compensation insuranse camer and policy
number are Insurance Co /•^»-^'\^^f Policy No ~P^lAJ^Cii P Expiraton Date
This section need not be completed if the pemiit is for one hundred dollars ($100) or less
n Certificate of Exemption 1 certify that m the perfonnance of 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' Compensation Laviis 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, damagesas provided for in Section 3706 of the Labor code, interest and attorney's fees
yfif CONTRACTOR SIGNATURE nAGENT DATE
/ hereby affirm that I am exempt from Contractor's bcense Law for the following reason
O I, as owner of the property or my employees wilh wages as Iheir sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Conlraclor'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 vwll have the burden of proving that he did not build or improve for the purpose of sale)
Cl 1, as owner of the property, am exclusively contracting with licensed contractors lo 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 conlractor(s) licensed pursuant to the Contractor's License Law)
• I am exempl under Section Business and Professions Code for this reason
1 1 personally plan lo provide the major labor and matenals 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 I have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractors license number)
4 1 plan to provide portions of the work, but 1 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 work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of vrork)
yfiS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP O Yes • No
Is Ihe applicant or future building occupant required to obtain a pemiif from the air pollution control distnct or air quality management distncP CI Yes n No
Is the lacilily to be constmcted within 1,000 feel 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affinn 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 certily thatI have read theapplicationandstatethattheabove informabon isconectand thatthe infoimaton on the plansisaccurate I agreetocomplywith allCityordinancesand State laws relabngto building consttticbon
I hereby authonze representative of the Cily of Caitebad lo enter upon Ihe above mentioned pnaperty 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 5'0'desa an<ra§tTOlition or constmction of stmctures over 3 stones in height
EXPIRATION Eveiy pennit issued by the^uilding (Mashm^s IIDVISIMS of Ihis Code shal^gxpire by limitation and become null and void if the building or work authonzed by such pennit s not commenced within
180 days Horn the date of such permit o(ime building omirt^sutjfonzed by fcuch penmitij«i5pended or abandoned at any time alter the work is commenced for a penod of 180 days (Section 106 4 4 Unifenn Building Code)
yglTAPPLICANT'S SIGNATURE / \ A ' IDATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF ANCY (Commercial Projects Only
Fax (760) 602-8560, Email www buildinqi5)carfsbadca qov or Mail the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#' (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILOING ADORESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
EMAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
a PICK UP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above)
o CONTRACTOR (On Pg 1)
• MAIL / FAX TO OTHER
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
ygS"APPLICANT'S SIGNATURE DATE
Inspection List
Permit* CB130916
Date Inspection Item
09/27/2013 19 Final Structural
Type SIGN
09/27/2013 38
09/27/2013 39
09/20/2013 38
09/20/2013 38
Signs
Final Electncal
Signs
Signs
Inspector Act
Rl
PD AP
PD AP
Rl
MC CO
PURE BURGER- INSTALL 2
ILLUMINATED WALL SIGNS
Comments
AM PLS
NO PLANS/CONTRACTOR
Monday, September 30, 2013 Page 1 of 1