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Home My WebLink About2653 GATEWAY RD; 101; CB090719; Permit04-30-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB090719 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title Applicant ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 2653 GATEWAY RD CBAD St 101 SIGN 2131911900 Lot# 0 $6 000 00 Construction Type NEW CARLSBAD OPTOMETRY INSTALL 2 ILLUMINATED WALL SIGNS Status Applied Entered By Plan Approved Issued Inspect Area Owner LNR CPI BRESSI RETAIL L L C C/O LNR PROPERTY CORP 4350 VON KARMAN AVE #200 NEWPORT BEACH CA 92660 ISSUED 04/30/2009 KG 04/30/2009 04/30/2009 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $81 41 $000 $5292 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $13433 Total Fees $134 33 Total Payments To Date $13433 Balance Due $000 Inspector FINAL APPRQVA 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 processma 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 APy* 1635 Faraday Ave Carlsbad CA 92008 B $^f /^ 7606022717/2718/2719 O^^EJ^ Fax 7606028558 ^)>-^ www carlsbadca gov ^tffff^f Building Permit Application JOB ADDRESS ~ , ,. . f. ***. 3CS3 Gn\rf*1 U Wt CT/PROJECT * LOT ft tlHASE « ft OF UNITS * BEDROOMS DESCRIPTION OF WORK Include Square Feet of Affected Area(s)T^-UH 2 T/u\ u/«i EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE ! FAX EMAIL PROPERTY OWNER NAME 1 i/f\ ADDRESS W$" F/^JfK-* £iwr<- CITY i r if STATE ZIP U )o Ik <"A W~Z7 PHONE ... FAXVW no EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC II fo Plan Check Nofl&#07/? jg Est Value 6 j 0 O O r Plan Ck Deposit ^ Date</^0- 09 <fa. SUITEtt/SPACEtt/UNITtl |APN jf I0( \ / a BATHROOMS ITCftANT BUSINESS NAME .. I i C ONSTR TYPE OCC GROUP(Ar($SAW~W• / ^ £/« rt Cy PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME \ I I 'JOfV $\I<*G ADDRESS ' . ',, 1 W Moo A*- $W CITY S A STAI-fl ZIP ><» /),<v> <** ^i;3 PHONE / / FAX & #1-1*100 EMAIL CONTRACTOR BUS NAME MlJr \ ADDRESS c^y 0> A«?U^f' CITY STATE ZIP PHONE FAX EMAIL ™* 7ff?*i T-^r 7272*-^ (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 islicensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending with Section 7000 of Division J of the Business and Professions Code} or that he is exempt there from and the basis for the allegi.d exemption Any violation ofSection 70! IS 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 affirm under penalty of perjury one of the following declarations O 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 peimit is issued 5VI have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whichJhis permit is issued My workers compensation insurance earner and policy number are Insurance Co y^oif'Tt~w Policy No I 7/' ^ » Expiration Date S~ I " ' This section need not be completed if the permit 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 compensaUps-eoverage 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 damages as providstffor infection 3706 of the Labor code interest and attorney s fees CONTRACTOR SIGNATURE DATE D / hereby affirm that I am exempt from Contractor s License Law for the following reason 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 cipply 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 O Yes EJ No 2 I (have / 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 construction (include name address / phone / 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 / address / phone / 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 / address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE 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' n Yes G No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 d Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site9 Cl Yes D No 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 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relatmj' to building construction 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 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 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days from the date of such permit or if the bujdiraor work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 06/11/2009 Permit# CB090719 Title CARLSBAD OPTOMETRY INSTALL 2 Description ILLUMINATED WALL SIGNS Inspector Assignment 2653 GATEWAY RD 101 Lot Type SIGN Job Address Suite Location APPLICANT ULTRASIGNS Owner Remarks Sub Type Phone 6199540171 Inspector Total Time CD Description 19 Final Structural 39 Final Electrical Act Comments Requested By JIM Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form am applying to the£ity of Carlsbad for the following type(s) of construction permit Right-of-Way PermitBuilding Permit /ly project is categorically EXEMPT fro/rf the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re Roofing Sign Spa Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* Wo Threat Assessment Criteria | | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the no threat assessment criteria on the City s Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High Moderate or Low Threat criteria described below Tierl • Low Threat Assessment Criteria | | My project does not meet any of the Significant or Moderate Threat criteria is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance and/or • Includes outdoor construction activities (such as roofing saw cutting equipment washing material stockpiling vehicle fueling waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria \ | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code) or • Project will result in 2 500 square feet or more of soils disturbance including any associated construction staging stockpiling pavement removal equipment storage refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical and/or • Disturbed area is located along or within 30 feet of a storm dram inlet an open drainage channel or watercourse and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 • Significant Threat Assessment Criteria I | My project includes clearing grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging equipment storage, stockpiling, pavement removal refueling and maintenance areas and/or | | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging equipment storage refueling and maintenance areas or | | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has s significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non storm water discharge(s) / cert/fy fo the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Jitle 15 of the Carlsbad Municipal Code and to City Standards The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted COMPENSATION INSURANCE PO BOX 420807 SAN FRANCISCO CA 94142-0807 CERTIFICATE OF WORKERS COMPENSATION INSURANCE ISSUE DATE 05-01-2009 GROUP POLICY NUMBER 1711028-2009 CERTIFICATE ID 787 CERTIFICATE EXPIRES 05-01-2010 05-01-2009/05-01-2010 SD This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 39 days advance written notice to the employer We will also give you 39 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain the insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy H~^ PRESIDENT $1 000 000 PER OCCURRENCE JTHORIZED REPRESENTATIVE^ EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS ENDORSEMENT #1600 - JOHN HADAYA PS- EXCLUDED ENDORSEMENT #1600 - GUS HADAYA T - EXCLUDED ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER ULTRASIGNS INC 9025 BALBOA AVE STE 150 SAN DIEGO CA 92123 SD (REV 2 05)PRINTED M0410 04-17-200S ELECTRICAL ADVERTISING SPECIAL POWER OF ATTORNEY Ultrasigns, Inc a corporation organized and existing under the laws of the State of California, under contract # 799881, C45, with its principal office at 9025 Balboa Ave #150, in its capacity as Sign Manufacturing and Installation, hereby appoints Joseph Ahano who currently resides at 2061 Village Park Way #224, Encimtas, CA 92024, as its attorney in fact for the following purposes Apply for, execute, receive and perform all acts necessary to obtain electrical and sign permits and city business licenses on behalf of the company TERMINATION Unless sooner revoked or terminated by me, this Special Power of Attorney shall become NULL and VOID from and after April 24, 2010 IN WITNESS WHEREOF, 1 have hereunto set my hand this on day of Ghassan Y Hadaya Ultrasigns Inc, 9025 Balboa Avenue, Suite 150, San Diego, CA, 92123, 858-569-1400 BRESSI RANCH VILLAGE CENTER |L FUERTE AND GATEWAY STREET CARLSBAD. CALIFORNIA CHIIDS MASCAR1 WARNER MMt*tlUMMIb PLANNING BUILDING SIGN PERMIT NO. PS ——————_APPROVED BY DATE IS 9OD 5 g S? S- S * §2 »™s 123I= S co 3 m N S 3 §is> i C/>R .! i* 15 - m ScS3 3i IBil w ' ' "a I* 2 ! is? IIP if! ssi