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Home My WebLink About2653 GATEWAY RD; 102; CB121962; Permit10-02-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB121962 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2653 GATEWAY RD CBAD St: 102 SIGN 2131912500 Lot#: 0 $1,000.00 Construction Type: 5A ZIP REALTY TWO ILLUMINATED WALL SIGNS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/02/2012 MSP 10/02/2012 10/02/2012 Applicant: REGENCY BRESSI LLC C/O CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 SANTA MONICA CA 90401 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 $27.10 $0.00 $18.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 TOTAL PERMIT FEES $46.07 Total Fees: $46.07 Total Payments To Date: $46,07 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /^VJ* '/2^ Clearance: NOTICE- Please take NOTICE that approval of your project includes tfie "Imposition" of fees, Oedicalions, reservalions, or ottier exactions hereafter collectively referred to as "fees/exactions," You have 90 days from ttie date tfiis permit was issued to protest imposition of these fees/exaclions 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 m accordance with Carlsbad Municipal Code Section 3,32.030 Failure to timely follow that procedure will bar any subsequent legal action to allacK, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED ttiat yout ciglit to protest llie specified fees/exactions DOES MOT APPLY towalet and sewei connection fees ana 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 vou havg pr^viguslv been given a NOTIQE similar to this, or as lo which the stat^i|e of limitations has previously ^Ihgrwise expired. THE FOLIOWSNG APPROVALS REQUiRED PRIOR TO PERMST SSSUANCE: • PUNNING • ENGINEERING C BUILDING • FIRE • HEALTH • HAZMAT/APCD CITY Of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buidling@carl5badca.gov www, ca rl sba dca .^Q V SUITE#/SPACE#/UIMIT« A32- APN CT/PROJECT # ILOTff PHASEfl # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAf^E CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Sguare Feet of Affected«rea(sJ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE VES • #_ NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD APPLICANT NAME (Primary Contact 0£L APPLICANT NAME (Secondary Contact) ADDRESS pHwjirzi I FAX CITY STATE ZIP PHONE FAX EiviAir PROPERT>fOWNER NAME CONTRACTOR BUS. NAME ADDRESS _ /5 • CITY ^ . STATE ADDRESS STATE CITY STATE ZIP PHONE FAX EMAIL t ^ , ARCH/DESIGNER NAfulE 4 ADDRESS ' | STATE LtC. # EMAIL CITY BUS. LIC,# (Sec. 7031.5 Business and Professions Code; Any City or Counly 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 (Chapter 9, commending witti Section 7000 of Division 3 ofthe 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)). Wortiers' Compensation Declaration: I tmeby affirm under penalty of perjury one of the tdlowing dedarations: O I have and will maintain a certificate of consent to self-insure tor workers'compensation as provided by Section 3700 ot the Labor Code, for the performanceof the worl^ for which this permit is issued. a I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance ot the work tor which this pennit Is issued. Uy workers' compensation Insurance earner and policy numt)er are: Insurance Co. . Policy No. ^_____„__ Expiration Date ^ This section need not be compleled il the permil is lor one hundred dollars ($100) cr less. d Certificate of Exemption: I certify that in the perfomiance of the work for which this pemit 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 employerto criminal penalties and civil fines upto one hundred thousand dollars (&100,aOO), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE nAGENT DATE / hereby affirm that i am exempt from Corrtractor's Ucense Law for tlie 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 Ckintractcr's Ucense Law does nol apply lo an owner of property who builds cr improves thereon, and who does such work himself or through his own employees, provided that such improvements are not inlended or offered lor sale. If, however, Ihe building or improvement is sold within one year ol complelion, the owner-builder will have the burden of proving lhat he did nol build or improve lor Ihe purpose ol sale), I. as owner of the properly, am exclusively contracting with licensed conlractors to construct Ihe project [Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to ^e Contractor's License Law). 1 am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materiais for construction of the proposed property improvement, • Yes • No 2.1 (have / have not) signed an application lor a building permit for the proposed work. 3.1 have contracted with the loliowing person [firm) to pnavide the proposed construction [include name address / phone / contractors' license number): 4,1 plan to a[ovid& portions ofthe work, bull have hired the foliowing person lo coordinate, supen/ise and pnsvide the major work (indude name/address/phone/contractors' license number): 5.1 will i^ib^Some olJbenBrk, but I have contracted (hired) Ihe following persons to provide the vrork indcated (include name / address / phone / type ol wrorkj: f/typeolwrork): _ PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupantrequired to submit a business f^an, acutely hazardous materials registration form or risk management and prevenlion program under Sections 25505,25533 or 25534 ol the Presley-Tanner Hazardous Substance Account Act? O Yes • No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? O Yes • No Is the facility to be constructed within 1,000teet ofthe outer boundary ol a school site? O Yes • No IF ANY OP 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 consbudion lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address Icerti^ttiatlhave read the application and slate that the atxne Infbimation iscoriectandthatthein1bfmationonttieplansisaccuiate.lagi«etDcomplywithallCily^^^ I hereby authorize representative of the Qty of Carlsbad to enter upon the atwve mentbned property ix inspectfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND f<EEP HARMLESS THE CtTY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS WJD 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' dgtp and demolition or construction of structures over 3 stories fi height. EXPIRATION: Every permit issued by the BuikiingpfiiciaJ.tjrm?me provisions of this Code shall expire by limitation and become null and vod if the building or vrork authorized by such pemiit is not commenced within 180 days Irom the date of such pemiit a ifthe5l'*!^ng/)fv{)rtfaulhorized by such pemiit is suspended or abandoned at any time after the ifloii< is commenced fer a period of 180 days (Section 106,4.4 Uniform Building Code). DATE 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 wvflv.building(3;carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. Mo. DELIVERY OPTIONS • PICK UP; • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR <0n Pg. 1) a MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. J.) • MAIL/FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION >«S'APPLICANT'S SIGNATURE DATE Inspection Ust Permit: CB121962 Type: SIGN ZIP REALTY TWO ILLUMINATED WALL SIGNS Date Inspection Item Inspector Act Comments 12/12/2012 38 Signs - Rl 12/12/2012 38 Signs PB AP Thursday, December 13, 2012 Page 1 of 1