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HomeMy WebLinkAbout2647 GATEWAY RD; 104; CB102002; Permit10-28-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB102002 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2647 GATEWAY RD CBAD St: 104 SIGN 2131912500 Lot#: $4,000.00 Construction Type: OLLIE & ME - INSTALL 2 ILLUMIN WALL SIGNS & 1 BLADE SIGN 0 NEW Status: ISSUED Applied: 10/28/2010 Entered By: LSM Plan Approved: 10/28/2010 Issued: 10/28/2010 Inspect Area: Applicant: ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 Owner: LNR CPI BRESSI RETAIL L L C C/0 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 $0.00 $0.00 $0.00 $20.00 $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 "fees/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. ?>'/ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit DESCRIPTION OF WORK: Include Square Feet of Affected Areafa) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESQ NCQ AIR CONDITIONING YESr~|NO|~~l FIRE SPRINKLERS YESf ]NCQ CONTACT NAME (if Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP JATE ZIP PHONE FAX PHONE fe, FAX EMAIL EMAIL PROPEI A CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY ._ M O i~~ STATE ZIP HONE FAX PHO FAX EMAIL ARCH/DESIGNER NAME 4 ADDRESS CITY BUS. LK1# _ civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION 3 of the:anttoa Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I_J 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. L^JThave and will maintain workers', comoBnsation.asj£quiredbi 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 number are: Insurance Co >2y\jLV\lgL- V-Ofl^L- Policy No. \^[ l\ C> BU&? Expiration Date^ • ( * Q i This section need not be completed if the permit is for one hundred dollars ($100) or less. | I 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 (&10D.OOO), in addition to the cost of compensatforylamages as provided for in Section 3H16 of the Labor code, interest and attorney's fees. ,-- jgf CONTRACTOR SK3NATlAui/,JLL^JLJl \\\ OA^LOC^fe^. fJJfigENT DATE /£>" "&"&> r / & OWNER-BUILD I- R DECLARATION / hereby afHim that I am exempt from Contractor's License Law for the following reason: | | 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 | I, as owner of the property, am exd usively contract! ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contactor'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. I lYes I |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 / 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 / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) thefdlowing persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business dan, 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? I [Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjuality management district? I JYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes I I No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION 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 OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO 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 vrak authorized by such perrnifls suspended orabandoned at any time after the work is commenced for a period of 180 days (Section 103.4.4 Uniform Bulking Code). ^APPLICANT'S SIGNATURE DATE /£) City of Carlsbad Bldg Inspection Request For: 12/02/2010 Permit* CB102002 Title: OLLIE & ME - INSTALL 2 ILLUMIN Description: WALL SIGNS & 1 BLADE SIGN Inspector Assignment: RB 2647 GATEWAY RD 104 Lot: Type: SIGN Sub Type: Job Address: Suite: Location: OWNER LNR CPI BRESSI RETAIL L L C Owner: Remarks: Phone: 6199540171 Inspector: Total Time: CD Description 38 Signs Act Comments Requested By: JIM Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 11/30/2010 38 Signs CO RB NO CONTRACTOR PERMIT OR PLANS Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State Li Contractor's License Detail - License # 799881 e Board 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 BSEIOILIZ , 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 799881 "ULTRASiGNS INC 9025 BALBOA AVENUE #150 SAN DIEGO, CA 92123 Extract Date: 10/28/2010 Entity: Corporation __ __ JsjsueJDate "_ '_ 10/02/20CI1~_1Z1_1Z _ J ".1, Expire _p_ate___ _ 10/31/2011 _ _ _ _ __ _ _ __ _„_ License status This license is current and active. All information below should be reviewed. ^Additional_Status:_ _ _ _ CLASS DESCRIPTION Classifications: C45 ELECIR1CALSISNS CONTRACTOR'S BOND This license filed Contractor's Bond number 142299 in the amount of $12,500 with the bonding company MERJMN.£QMIBACIQRMND£MNJIY COMPANY, Effective Date: 01/01/2007 .Contractor's,Bondj,ng_Hj.§tory _..,_..„ 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 This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number:1711028 Workers' Compensation:Effective Date: 05/01/2003 Expire Date: 05/01/2011 WofkersLCorriBen_satjon_Hlstory CQnditjon.s.oLUse | Privacy,Po]jcy. 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