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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; 5o\7£ vC>Lf .IrJ. .W, yJ, DO"- 9^ "7^ IT BENCH SEAH IG w^6Ti^ t-*'^^ Vj SCO DRV VA;^)(1- S/)LOt-( —2,0 00 surrE 104 990 SQ FT. PREUMINARY #8 _| 18'-8' COT ^