HomeMy WebLinkAbout2647 GATEWAY RD; 101; CB150075; Permit01-08-2015
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Sign Permit Permit No: CBI50075
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
2647 GATEWAY RD CBAD St: 101
SIGN
2131912500 Lot#: 0
$4,500.00 Construction Type: NEW
PIEOLOGY - 3 WALL SIGNS ILLUM.
AND 1 BLADE SIGN
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/08/2015
SKS
01/08/2015
01/08/2015
Applicant:
SAN PEDRO SIGN CO
701 LAKMEAV
WILLMINGTON CA 90744
310 549-4661
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
$70.09
$0.00
$49.06
$0.00
$33.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $152.15
Total Fees: $152.15 Total Payments To Date: $152.15 Balance Due: $0.00
Inspector
FINAL APPROVAL^
Date: Clearance:
T
NOTICE: Please takofNOTICE that approval of your project includes the Imposition of fees, dedications, reservations, or other exactions hereafter collectiveiy
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 IVIunicipal Code Section 3.32.030. Faiiure to timely foiiow 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/exaclinns of which vou have oreviousiv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: nPLANNING QENGINEERING nBUILDING DFIRE nHEALTH •HAZMAT/APCD
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: buildln9@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
JOBADDRBS surrE*/sPACE*/UNrr* , . APN
/o| ... CT/PROJECT # LOT # 1 PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSfNESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
3<=\ -R: diWa^t^er. infe^nciKY liluminafesf duc^l-Vksw cliahnel kHers
p(€oiogv/ - on 3 buildir\3-fcic«2S (oor^, we^ feouiln elcvaiions)af-
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) [ 3ECKS (SF) FIREPLACE AIRCONDITIONING FlRESPRINKLERS
YES|~|# Noj 1 YESQNOQ YESQNO|~]/
APPLICANTNAME >^ , ^ ^ 1 ^
Pr/mary Contact CTOS? NdVamO-Sr.
PROPERTYOWNER Ali. r> f ,
A4mia FtepftHKf mnmi-ADDRESS _, ^ , , ,
N Laknne Ave
ADDRESS * . • 1 ' iJ' "
CITY ... , STATE _ ZIP ^ i CITY , , STATE ^, ^ ^'P /-I / /
PHONE ^ , < , F AX
3/0- 54^-24S2-
EMAIL _ N^^>pciirian@Q^enQ-prn.Cxfr)
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME j ^ ^ , /
ADDRESS ADDRESS _ . , A , >3
CITY STATE ZIP CITY ... . STATE ZIP ^ , . ,
W'\rviing-K)n 6A ^oiqq PHONE f AX
EMAIL EMAIL
./^-y* ^ ^.rJ ..
STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# ' r»-^'
c..i^MO CLA") >'gin2r7
(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 pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division Sof the Business and Professions Code) or that he is exempt theref rom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applioantfor a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: /hereby affimi under penalty of peijury one of the lollowing declarations:
Blb^e and will maintain a certificate of consent to self-insure for worlters' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the wodt for which this pemnit is issued.
I have and wiii maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worit for which this permit is issued. My workers' comper"-'''"" insurance earner and policy
number arelnsurance Co Ntgyy Cc?h^^'^'^ 11^ I^TV ^ jnC PoiicyNo ^P6I'2.^4-|3 Expiration Date ^ f I /ZOlST
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfonnance of the worit for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worlters' Compensation Laws of
Califomia. WARNING: Faiiure to secure worlters' cOTipensation coverage Is unlawful, and shaii subject an empioyer to criminai penalties and civii fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as orovidedfor in Section 3706 of the Labor code, interest and attomey's fees, y
JS^ CONTRACTOR SIGNATURE ^^"^^Vv-^- gfAGENT DATE \j^l20{S
OWNER-BUILDER D B f l An AT t O H
I hereby aflinn that I am exempt from Contractor's Ucense Law for the following reason:
[ I I, as owner of the praperty or my employees vwth wages as their sole compensation, will do the worit and the stnjcture 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 thraugh 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 wili have the burden of proving that he did not buiid or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors Ucense 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 I I am exempt under Section Business and Professions Code for this reason:
1.1 personally pian to provide the major labor and materials for construction of the proposed property impravement. •Yes I INO
2.1 (have / have not) signed an application for a building pemiit for the proposed worit.
3.1 have contracted with the following person (firni) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 pian to provide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major worit (include name / address / phone / contractors' license number):
5.1 will pravide some of the vrork, but i have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of wortt):
^PROPERTY OWNER SiGNATURE QAGENT DATE
COMPtETE THIS SECTION FOR N O N - R E S
Is the appiicant or future building occupant required to submit a business plan, acutely hazanjous 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 fram the air pollution contral district or air quality management district? Yes No
Is the facility to be constracted 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 iS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AiR POLLUTION CONTROL DISTRICT
^^_<P'0,M STR tic TIOM LENDING AGEHCy
I hereby affimi 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
A PfllCAH T CERTIF I C AT» O N
I certif that i have read the apf\\cs6on and state thatthe above infbnnation is correctand thatthe inforniation on the pians is accuiate. I agiee to compiywith all Cily ordinances and Slate laws lelating to buiiding constmction.
I hereby aulhorize representative ofthe City of Carlsbadto enter upon the above mentioned praperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS/ND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required forexcavation^ver 5'0' deep and demolition or constmctbn of staictures over 3 stories in height.
EXPIRATION: Every pemit issued by the BuikM Oflicial under the provisbns of this Code shall expire by limitation and become null and void if the building or woik authorized by such perniit is not commenced within
180 days from the date of such pemiit or if the/xAlingjjr work authorized by such pemiit is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Sectbn 106.4.4 Unifomi Buikiing Code).
vfiTAPPLICANT'S SIGNATURE DATE
Id
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 buildinq(S)cartsbadca.aov or Mail the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above) ASSOCIATED CB#-
MAIL/FAX TO OTHER:
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SiGNATURE DATE
Inspection List
Permits: CB150075
Date Inspection Item
02/25/2015 38 Signs
02/25/2015 38 Signs
02/25/2015 39 Final Electrical
02/25/2015 39 Final Electrical
Type: SIGN
Inspector Act
Rl
PY AP
Rl
PY AP
PIEOLOGY - 3 WALL SIGNS ILLUM.
AND 1 BLADE SIGN
Comments
Thursday, February 26, 2015 Page 1 of 1