HomeMy WebLinkAbout2659 GATEWAY RD; 104; CB131857; Permit11-22-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB131857
Building Inspection Request Line (760) 602-2725
Job Address.
Permit Type
Parcel No:
Valuation
Reference #.
PC#
Project Title'
2659 GATEWAY RD CBAD St: 104
SIGN
2131912500 Lot#: 0
$1,500.00 Construction Type NEW
BLO DRY BAR - 1 SIGN ILLUMiNTD
status-
Applied
Entered By:
Plan Approved
Issued:
Inspect Area
ISSUED
08/05/2013
SKS
08/05/2013
08/05/2013
MC
Applicant:
FORD SIGNS
1605 ORD WAY
OCEANSIDE CA 92056
760 631 1936
Owner.
REGENCY BRESSI LLC
C/O CORNERSTONE REAL ESTATE ADVIS
100 WILSHIRE BLVD #700
SANTA MONICA CA 90401
Building Permit
Add1 Building Permit Fee
Plan Checl<
Add1 Plan Check Fee
Electrical Fee
Renewal Fee
Add1 Renewal Fee
Other Building Fee
Additional Fees
$37.75
$0.00
$26 42
$0 00
$31.00
$0.00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $95.17
Total Fees. $95.17 Total Payments To Date-$95 17 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date:
.APPROV
Clearance-
NOTICE Please take NOTICE that approval of your project includes Ihe 'imposition" of fees, dedications, reservations, or other exactions hereafter coliectiveiy
referred to as 'fees/exactions" You have 90 days from the date this permit was issued to protest imposition ot 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 m accordance with Carisbad IWunicipai Code Section 3 32 030 Failure to timely foiiow that procedure will bar any subsequent legai action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTlFiED 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 cf which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax. 760-602-8558
vi^ww.carlsbadca.eov
Plan Check No
Est. Value
Plan Ck. Deposit
SWPP
" /') ~ I CONSTR TYPE I occ GROUP WPTOJTOT? LOT? 7 rpHASE IT
!4t DESCRiPTION OFWORK: /ncfude Square Feet df/lffectadAres^) , , ri
\\\\LW\['(\U(^(MiA\M\ ii^m
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • #_
AIR CONDITIONING
YES • NOO I tt NO • YES • NO •
FIRE SPRINKLERS
YES • NOD
CONTACT NAME (If Different Fom Applicant)
_ ^
APPLICANT NAiVIE m ADDRESS
PHONE^ I , f\ r /7t I /V/1 r-|FAX^/ PTTT/W lJ75^r7' T PHONE
EMAIL
PROPERTY OWNER NAiVIE, CONTRACTOR BUS. NAiVIE
ADDRESS ADDRESS
CITY ^ STATE, mgflk'^ide
PHONE, , . ^ I / T PHONE i
ARCH/DESIGNER NAME & ADUftESS ' I I STATE LIC #
EMAIL
1/
EMAIL
i STATE LIC #
(Sec 70315 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 of the Contractor's License Law ICnapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or tnat 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))
Woriiers' Compensation Declaration / hereby affm underpenalty of perjury one ofthe foliowing declarations
O I have and will maintain a certificate of consent to seif-insure lor workers' compensation as provided by Section 3700 of the Labor Code, for Ihe performance of the work for which this permit is issued
tSI I have and will maintain workers' compensalion, as required by Section 3700 of Ihe Labor Code, for Ihe performance of the worjc for which.lhis penjuLis issued My workers' compensation insurance camer.and policy
numberare InsuranceCo'v^^^/j'^p Vj {jMp'rii^ PolicyNo
\I^W^^1?0{/00^1 Exniration Date
This section need nol be compleled if the permit is for one hundred dollars ($100) or less
n Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject lo the Wortters' Compensation Laws of
California WARNING' Failure to secure workers' compensation coverage is unlawful, and shaii 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 provided for in Section 3706 of the Labor code, interest and attorney's fees
JSS CONTRACTOR SIGNATURE [ \^XA NT DATE
I hereby affirm (hal I am exempi from Contractor's License Law for (he following reason
O 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 Contractors
License Law does not apply to an owner of property who builds or improves Ihereon, and who does such wort himself or Ihrough 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-buiider 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 projects with contrBCtor(s) licensed pursuant to the Contractors License Law)
• 1 am exempt under Section Business and Professions Code for this reason
1 1 personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes O No
2 1 (have / have not) signed an application for a building permit for the proposed work
3 i have contracted with the loliowing person (limi) to provide the proposed construction (include name address / phone / co ntractors' license number)
4 I plan lo provide portions of the worii, but I have hired the tollowing person to coordinale, supervise and provide the major work (include name / address / phone /contractors' license number)
5 i will provide some of the work, but 1 have conlracted (hired) the following persons to provide the work indicated (include name / address / phone / lype of work)
» PROPERTY OWNER SIGNATURE •AGENT DATE
is the applicant or luture building occupant required to submit a business plan, acutely hazardous matenals registration forni or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Subslance Account Acf • Yes • No
Is the applicant or future building occupani required lo obtain a pemtit from the air pollution control distnct or air quality management distncf • Yes O 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.
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 ttiat 1 have read the applicabon and state that the above mfonnation is conECt and ttiat the mfonnation on the plans is accuiate. 1 agree to comply with all City ordinances and State laws relabng to building constnicbon.
I heieby authonze representative ol the City of Cartsbad to enter upon Sie above mentioned pioperty for mspedxin purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGIVIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pemit is required Ibr excavations over 5'0' deep and demolition or constiuctxin of stmctures over 3 stones m height
EXPIRATION Every pemiit issued by the BuiWing Official under the provisions of ths Code shaii expire by \m«atm and become null and void if the buildng or worti authonzed by such pennit B not commenced within
180 days from the date of such perniil or if ihe buidmg or wortj authonzed by such pemiit G suspended or abandoned at any time after the vrorii is commenced for a penod of 180 days (Section 106 4 4 Uniform Buikting Code)
vgS"APPLICANT'S SIGNATURE DATE M3
Inspection List
Permit*: CB131857 Type: SIGN BLO DRY BAR -1 SIGN ILLUMINTD
Date Inspection item Inspector Act Comments
11/21/2013 19 Final Structural - Rl
11/21/2013 38 Signs MC Fl
Thursday, November 21, 2013 Page 1 of 1