HomeMy WebLinkAbout2675 GATEWAY RD; 104; CB081959; Permit10-20-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No CB081959
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2675 GATEWAY RD CBAD St 104
SIGN
2131910800 Lot# 0
$5,300 00 Construction Type NEW
RUBIOS INSTALL 3 ILLUMINATED
WALL SIGNS, 1 BLADE SIGN
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
TNT ELECTRIC SIGN INC
Owner
ISSUED
10/20/2008
KG
10/20/2008
10/20/2008
3080 EAST 29TH STREET CA
562-595-7725
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
$81 41
$000
$5292
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $13433
Total Fees $134 33 Total Payments To Date $13433 Balance Due $000
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition of fees, dedications, reservations, 0' other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fee:'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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
FOR OFFICE USE QfclL
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (includi Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms
|2. CONTACT PERSON (If
Name Address State/Zip Telephone #
15. CONTRACTOR - COMPANY NAME
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter improve, demolish or repair any structure pnor to its issuance,
Section 7000 of Division 3 of the 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 thqn five^undred dollars [$6Qp]) A
Name
State License*
Address
License Class
City^N,State/Zip
City Business License #
Designer Name
State License #
Address City State/Zip Telephone #
6 WORKER'S COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work
for which this permit is issued
•if I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued My
worker's compensation insurance came^and policy number are ^j.*-/ O *-| Go 5 ^ ^3 "2-^ ^ '
Insurance Company i^\ T\K e_ \-v»*vJc K<? r\vCM"lT^Policv No V -AjS-HSjtl .S Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
D CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit 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 employer to criminal penalties and civil fines up to one hundred thousand
dollars($100,000), in addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees
SIGNATURE (y^JL-i-*—^ Q-^x sSUJlx-^l DATE lO -~if> ° 3"
|7 OWNER-BUILDER DECLARATION |
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
D I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure 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 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)
0 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 contractors) licensed pursuant to the Contractor's
License Law)
D I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO
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 number / contractors license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number /
/ontractors license number)
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work)
PROPERTY OWNER SIGNATURE.DATE
. PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
Page 2 of 2
[COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES D 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
|8 CONSt^UClT67n.'EWNG"AGENCY ~ j
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code)
LENDER'S NAME LENDERS ADDRESS
19 APPLICANT CERTIFICATION J
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City
ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND
OSHA An OSHA permit is required for excavations of 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after
the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE EaajM"V>-VJ—*- L JC-J-«-«>X^-a>—<-*-^\ DATE IP y
City of Carlsbad Bldg Inspection Request
For 02/04/2009
Permit* CB081959
Title RUBIOS INSTALL 3 ILLUMINATED
Description WALL SIGNS, 1 BLADE SIGN
Inspector Assignment
2675 GATEWAY RD
104 Lot
Type SIGN Sub Type
Job Address
Suite
Location
APPLICANT TNT ELECTRIC SIGN INC
Owner
Remarks sign
Total Time
CD Description
38 Signs
Phone 5627557646
Inspector
Requested By SAMI/SAM
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
€L€CTRIC
'-A lie » C4S 803133
2Uic KL.38ROCI70223
308O East 29th Street, Long Beach, CA 90806 • Bus (8OO) 655-6366 •» (562) 595-7725 / Fax (562) 595-5434
January 22, 2007
Letter of Authorization
To Whom It May Concern
I hereby authorize AKC Services, Inc employees to apply for, execute, receive and
perform all acts necessary to obtain planning approvals, building permits, business and
other licenses, construction certificates and California Title 24 documents
Authorization herein grated shall commence on January 22, 2007 for contractor's license
number 803133 Class C-45 and shall remain in full force and effect until written native is
given
AKC Representative List
Tony Kelley
Chris Polster
Bobbie Duddey
Rigel Fmdley
Jeff Reich
Kelly Millmtz
Colleen Thomas
Jim Felix
Robert Carnesi
Kevin Wieckmg
Nicolette Wood
Tern Korte
If you have any questions or concerns regarding this authorization, please contact me at
(562)595-7725
Sincerely,
Tengly Tan
TNT Electric Sign, Inc
Owner/President
State of California
County of Los Angeles
On January 22, 2007 before me, Ly Yin, Notary Public, personally appeared
Tengly Tan
person(x) whose name(s$ is/are subscribed to the within instrument and acknowledged to
me that he/gfae&fca^ executed the same in his/foex&hEir authorized capacity(K6^, and that
by his/JM^SS" signature^ on the instrument the person(S), or the entity upon behalf of
which the person^ acted, executed the instrument
WITNESS jqay hand and'official seal
IYYM
1610549
Notary PuMc - CaMomto
to* Antpta County
My Comm. Exptrw Ort 1.2009
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