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Home My WebLink About2669 GATEWAY RD; 104; CB140369; Permit02-18-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB140369 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #; Project Title: 2669 GATEWAY RD CBAD St: 104 SIGN 2131912600 Lot#: 0 $3,000.00 Construction Type: NEW EUROPEAM WAX: NEW ILLUM SIGN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/18/2014 JMA 02/18/2014 02/18/2014 Applicant: ULTRASIGNS INC. STE 150 9025 BALBOA AV SAN DIEGO CA 92123 858-569-1400 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 $58.27 $0.00 $40.79 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 TOTAL PERMIT FEES $132.06 Total Fees: $132.06 Total Payments To Date: $132.06 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 7~i^ j </ Clearance: NOTICE: Please take NOTICE that approval olyour project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as "fees/exactions." You tiave 90 days from the date this permit was issued to protest imposition of these fees/exadions. If you protest them, you must follov* the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposilion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar lo this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: QPLANNING OENGINEERING •BUILDING IZlFIRE •HEALTH •HAZMAT/APCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildjng@carlsbadca.gov www.carlsbadca.gov Plan Check No. / ^ Est. Value "^^(^^G^ Plan Ck. Deposit Date SWPPP JOB ADORESS SUITEf/$PACE*/UNIT* / QMS TENKN CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENXNT BUSINESS NAME DESCRIPTION OF WORK: /ncfude Square Feet of AITected Afea(s> ^2^ CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~> N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YESQNOQ APPUCANT NAME (Prlmaof Contain) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS U-STATE CITY STATE PHONE FAX ^SSrf.t.'f f^csc^ I £/'o^ PHONE EMAIL . , PROPER^OWNE^iAME^^^^^^^^^^^^^^^^^^^^^^ FAX PROPERTYOWNER NAME CONTRACTOR BUS. NAME ADDRESS ITY 1^ StAfE CITY ~. STATE CITY PHONE FAX ZIP PHONE n STATE ZIP EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pernnit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lawichapter 9, commendingwlth Section 7000 of Division 3 of tne 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)). |.RS' C^SMPENSAT.ON fell Workers' Compensation Declaration: / hereby aflimi under penalty of peijury one of the following dedarations: I 11 have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Sectbn 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is Issued. l/ri have and will maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. My workers' compensation i^urafice earner and policy niimhpram- ln.!iiranrBnn '^^l^ ^1 <^ Polfcy No. <^r*>^^7 ^ T/ 3 ExpiratkinDate ( L [ This section need not be completed if the pennit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the work for which this pemiit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkjn Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminai penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Sectwn 3706 of the Labor code, interest and attomey's fees. jfif CONTRACTOR SIGNATURE \)LAAjL..1 XxXiXXc^-^P^J^— [^A( TAGENT DATE / hereby affirm that I am exempt from Contractor's Ucense Law for the fotlowing reason: I I I, as owner of the property or my emptoyees with wages as their sole compensatfon, will do the work and the stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buikis or improves thereon, and who does such work himself or through his own emptoyees, provkled that such improvements are not intended or offered for sale. If, however, the buikJing or improvement is sold within one year of completton, the owner-buiWer will have the burden of proving that he dkl not buito or improve for the purpose of sate). I I I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of property who buikls or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [ I I am exempt under Sectton _ .Business and Professtons Code for this reason; 1.1 personally plan to provide the major labor and materials for constructton of the proposed property improvemenl I lYes •NO 2.1 (have / have not) signed an applicatton for a buikiing pennit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constnjctton (include name address / phone / contractors' license number): 4.1 plan to provkle portions of the wori(, but I have hired the foltowing person to coordinale, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provide the work indtoated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE •AGENT DATE OMPiETE THIS SECtlON FOR NON-RESIOENTIAL B U I L D I N G |> E R M I TS ONLY Is the appltoant or future building occupant requined to submit a business plan, acutely hazanlous materiais registration form or risk management and preventon program under Sections 25505,25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the appltoant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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. CONSTRUCTION LENDING AGENCV I 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 PPLI CANT CERTIFICATION (certify thati have read the application and state that tlie above Infbiiiiatlon Is conect and that theinfb I hereby aulhorize neptesenlalive of Ihe Oty of Carlsbad lo enter upon Ihe above mentioned property Ibr inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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: An OSHA pemiit is required for excavattons over 5'0' deep and demolitton or constnjctton of stmctures over 3 siories in heighl EXPIRATION: Every pennil issued by the Buikiing Ofltoial under the provistons of this Code shall expire by limitafon and become nul and vokl if the buikiing or work aulhorized by such pemiit is not commenced wilhin 180 days from the dale of such pemiil or if the buiUing or work authorized by such pennit is suspended or abandoned al any time after the wori< is commenced ^r a period of 180 days (Sedton 106.4.4 Unifonn Buikiing Coiie). APPLICANT'S SIGNATURE DATE dtbra period c 4 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 building@car1sbadca.q0V or Mail the completed form to City ofCarlsbad, Building Division 1635 FaradayAvenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADORESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB140369 Type: SIGN EUROPEAM WAX: NEW ILLUM SIGN Date Inspection Item 08/21/2014 38 Signs 08/21/2014 38 Signs 08/21/2014 39 Final Electrical 08/21/2014 39 Final Electrical Inspector Act Rl PB AP Rl PB AP Comments AM PLS Thursday, August 21, 2014 Page 1 of 1