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Home My WebLink About2653 GATEWAY RD; 103; CB120091; Permit01-18-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB120091 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2653 GATEWAY RD CBAD SIGN 2131912500 Lot#: $3,250.00 Construction Type: REFORM YOGA- 2 WALL SIGNS ILLUMIh4ATED 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/18/2012 RMA 01/18/2012 01/18/2012 Applicant: CENSOURCE INC SUITE H 1500 SOUTH SUNKIST ST ANAHEIM CA 92806 714-939-1070 Owner: REGENCY BRESSI LLC C/O CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 SANTA MONICA CA 90401 Building Pennit Add'l Building Permit Fee Plan Check Add1 Plan Check Fee Electrical Fee Renewal Fee Add1 Renewal Fee Other Building Fee Additional Fees $68.07 $0.00 $47.65 $0.00 $30.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $145.72 Total Fees: $145.72 Total Payments To Date: $145.72 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes Ihe Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactiors," YOJ have 90 days from the date this permit was issued to protest imposition of these fees/exadions. 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 intormation with the City Manager for processing in accordance with Cartsbad Municipal Code Section 3,32.030, Failure to timely follow that procedure will bar any sutjsepuent legal action to attacii, review, set aside, void, or annul their imposition. You ate hereby FURTHER NOTIFIED that yout right lo ptotest the specitied fees/exactions DOES NOT APPLY to watet and se-wei coiitieOioii fees and capacily changes, nor planning, zoning, grading or other similar application processing or sen/ice lees in connection with this project. NOR DOES IT APPLY to any fees/exactions yf whif^h y^^ have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Application CiTY OF 1635 Faraday Ave.. Carlsbad. CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov JOBADDRESS SUITE#/SPACE#/UNIT# 03 CT/PROJECT # # OF UNITS #BEDRO0fVlS # BATHROOMS TENANT BUSINESS NAf^E DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • APPUCANT NAME {Primary Contact) APnJCANT NAME (Secondary Contact) ADDRESS ADDRESS ZIP CITY STATE ZIP PHONE \ EMAIL FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME ^ADDRESS CLASS 1 do CITY BUS. Lies (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 pursuant to the provisions ofthe Contractor's License Law (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: / tierety affirm under penidty of perjury one ofthe following declarations: • I have and mil 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. 1 have and will maintain workers' compensation, as required by SecJion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woriters' compensation insuranee carrier and policy number are: Insurance Co. 1 Qt^CK <^fc"f,b^7 Policy no. ^ 0^731 M'2S'<'^ Expiration Date t Z( » [ I 2- This section need not be completed if the permit is for one hundred dollars ($100) or less. • Certificate of Exemption: I certify that in the perfomiance 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 workeral^ompensatijin 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, damages^yprovided)M injSection 3706 of the Labor code, interest and attorney's fees. JS^ CONTRACTOR SIGNATURE /l^y^ ^ ,;gAGENT DATE '^-•&M^m^^::ms^mmiM,^^^:A^ I hereby affm that I am exempt from Conlracfor's License Law for the ft^lowing 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 Conlractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or thnDugh his own employees, provided that such improvemenls 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 apply to an owner of property who builds or improves thereon, and contracts for such pnajects with contractor(s) 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. • 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 (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 maj or 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 worit indicated (include name / address / phone / type of worit): >£S'PR0PERTY OWNER SIGNATURE •AGENT DATE is the applicant or future building occupant required to submit a business pian, 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? • Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constructed 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. I hereby affirm that there is a construction lending agency for the performance ofthe 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 conectand that the infomiation on the plans is accurate. I agree to comply v/ith all Ci^ ordinances and State laws relating to building construction. 1 hereby authorize representative ofthe City of Carisbad to enter upon the above mentbned properly for in^)edion purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEt^S, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRAhfTING OF THIS PERMIT. OSHA: An OSHA pemit is required for excavations over 5'0' deep and demolition or constnjctbn of sfructures over 3 stories in height. EXPIRATION: Evety pennit issued by the Buildirjij Official under thpi^rpvisions of this Code shall expire by limitation and become null and void if the building or wori< authorized by such pemit is not commenced within 1 by su^ijjenftil is suspended or abandoned at any time afterthe wotkis commenced for a period of 180 days (Sectbn 106.4,4 Uniform Building Code), 180 days from the date of such pemit or if the APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB120091 Type: SIGN REFORM YOGA- 2 WALL SIGNS ILLUMINATED Date Inspection Item Inspector Act Comments 12/10/2012 38 Signs - Rl can u final permit? 12/10/2012 38 Signs PB AP Tuesday, December 11, 2012 Page 1 of 1