HomeMy WebLinkAbout2659 GATEWAY RD; 104; CB131517; Permit06-21-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBI31517
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2659 GATEWAY RD CBAD
MISC
2131912500
$0 00
Subtype
Lot#
OTHER
0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
BLO DRY HAIR SALON
2 3 INCH UNDERGROUND WASTE LINES FOR CB13-1323
ISSUED
06/21/2013
MDP
06/21/2013
06/21/2013
Applicant
HASLER CONSTRUCTION
2725 GARCIA WY
LA COSTA, CA 92009
619-987-3000
Owner-
REGENCY BRESSI LLC
C/O CORNERSTONE REAL ESTATE ADVIS
100 WILSHIRE BLVD #700
SANTA MONICA CA 90401
Miscelaneous Fee #1
Misfcelaneous Fee #2
Adaitional Fees
TCTAL PERMIT FEES
PERMIT $65 00
$0 00
$0 00
$65 00
Total Fees' $65 00 Total Payments To Date $65 00 Balance Due: $0.00
Inspector
FINAL APPROVAL
Date F'^^VJ Clearance'
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refened to as "fees/exactions" You have 90 days from the date this perniit 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 pratest 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE- OPLANNING •ENGINEERING •BUILDING DFIRE •HEALTH •HA2MAT/APCD
^ CITY OF
CARLSBAD
Building Permil Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Plan Check No.
Est. Value '^'Z^^OOO
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SU1TE#/SPACE#/UN1T# ^ ^ APN
CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS
\
TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs)
^o^t^A sh^h(^ SL^))> wvTv-t ^/hr^ conr
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACff AIR CONDITIONING FIRE SPRINKLERS
YEs[~|# No| 1 YESQNOQ YES| | NO| 1
APPLICANTNAIVIE {Pflmary Contact) . ^.^^ APPLICANTNAME (Secondary Contact)
ADDRESS ^ _ ADDRESS
CITY . - ^ STATE ZIP CITY STATE ZIP
PHONBv _ PHONE FAX
•EMAIL • _
V\aS"\<2s<1iC"a5ta*>cr(CM Q *v>a . c
EMAIL
PROPERTY OWNER NAME _^ N . . ^—^ CONTRACTOR BUS. NAME >, iw» T
ADDRESS A <. ^ — y ADDRESS
GtDL 2- STATE ZIP CITY STATE ZIP
PHONE _ FAX PHONE FAX
EMAIL _ _ _ EMAIL
ARCH/DESIGNER NAME & ADDRESS ^ STATE LIC # STATE LIC # CLASS CITY BUS OC # «
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law ichapter 9, commending with 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 70315 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 ofpeijury one of the followmg declarstions
• I have and will maintain a certificate of consent to self-msure for vrorkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
• I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy
number are Insurance Co _ Policy No . Expiration Date _
This section need not be completed if the pemnit is for one hundred dollars ($100) or less
[^Certificate of Exemption' I certify thatjn the perfafiViance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub|ect to the Workers' Compensation Laws of
vaiifornia WARNING' Failure to secure workers'jei Ipensation coverage Is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dimapes as/o-o 'ided'for in Section 3706 of the Labor code, interest and attomey's fees
JS^ CONTRACTOR SIGNATURE • AGENT DATE / ( ^
I Itereby affimi that I am exempt fmm Contwasir's Ucense Law for the following reason
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec 7044, Business and Professions Gode 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 I, as owner of the property, am exclusively contracting with licensed contractors to constmct (he 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 projects with contractor(s) licensed pursuant to the Contractor's Ucense Law)
I I I am exempt under Section _ .Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement QYes I INO
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, supereise 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 woA indicated (include name / address / phone / type of work)
yfiS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control distnct or air quality management distnct' C 'Yes " No
Is the facility to be constmcted 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.
1 hereby affirm that ttiere is a construction lending agency for the perfonnance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify ttiat I have read the application and state that the above mfoimation is conect and that the infoimation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constmction.
I hereby authonze lepnesentative of the City of Garlsbad to enter upon the above mentioned property for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 /\n OSHA pemnit is requined for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Eveiy pemnit issued by the BuilpmtDflicial undaf the provisions of this Code shall expire by limitation and become null and void if the building or vwrt( authonzed by such permit is not commenced within
180 days liam the date of such permit or if thepuilqng or VKO] / uthcnzed by such pemnit is suspended or abandoned at any tme after the wiy s commenced for a penod of 180 days (Section 106 4 4UnifomnBuilding Code)
^eTAPPLICANT'S SIGNATURE 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.
T I F I C A T E CCUPAlNCY mercial Projects Orjfy)
Fax (760) 602-8560, Email buildinq(a)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
ElVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
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
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131517 Type: MISC OTHER BLO DRY HAIR SALON
2 3 INCH UNDERGROUND WASTE LINES
Date Inspection Item Inspector Act
08/27/2013 19 Final Structural PB AP
07/25/2013 17 Interior Lath/Drywall PY AP
07/23/2013 14 Frame/Steel/Bolting/Weldin PY AP
07/23/2013 24 Rough/Topout PY AP
07/03/2013 21 Underground/Under Floor PY AP
Comments
Wednesday, August 28, 2013 Page 1 of 1
City of Carlsbad
Building Division
APPROVED BY;
ISSUED BY;
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