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Home My WebLink About2675 GATEWAY RD; 103; CB090720; Permit04-30-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB090720 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title Applicant ULTRASIGNS 5458 COMPLEX SUITE 401 SD 92123 858-569-6716 2675 GATEWAY RD CBAD St 103 SIGN 2131911400 Lot# 0 $6,000 00 Construction Type NEW BOARD&BREW- INSTALL 2 WALL SIGNS/ILLUMINATED Status Applied Entered By Plan Approved Issued Inspect Area Owner LNR CPI BRESSI RETAIL L L C C/O LNR PROPERTY CORP 4350 VON KARMAN AVE #200 NEWPORT BEACH CA 92660 ISSUED 04/30/2009 KG 04/30/2009 04/30/2009 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 $13433 Total Payments To Date $13433 Balance Due $000 Inspector FINAL APPROVA Date (0 L Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees dedications reservations, or 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 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 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 previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2.719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check Est Value (p QQ Q Plan Ck Deposit Date (x-'T-ifr- JOB ADDRESS ^ ^_ CT/PROJECT # LOT ff ^Vft^Y W ^t PHASE #» OF UNITS * BEDROOMS SUITE-VSPACEtf/UNITff APN ff Jt //) ? - - f II BATHROOMS iTENJoy BUSINESS/^AME. ( ONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) U »1.&4* (1 cA D/l/irt~ U^ll £; cA S VtXtOi & {yf^ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME . i ,rt ft W< fVft* ADDRESS 477 C £•/*.-*.»«- s«^<- CITY , . STATE ZIP i- W* CA «37 PHONE /• ., FAX S^in - <?7ltf EMAIL ' ' ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIOIVING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME \ A 1 v Jew Av«*o ADDRESS /j ' , . 4 WC /WW ^L tf /s~c? CITY A STATE ZIP^ A«o rjf «£KH PHONE x- / FAX ~~ */flf IftftHlfO EMAIL CONTRACTOR BUS NAME /.)/. ^Unr°Sij^_$ ADDRESS ,£/?/*•< <« •/U'I1'^ CITY STATE ZIP PHONE FAX EMAIL STATE LIC It I CLASS CITY BUS 1 1C *TWl ^c 1 3) a<tf £ |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 'igned statement that he isicensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt there from and the basis for the alleged exemption Any violation oficction 7031S by any applicant for a permit subjects the applicant to a (ml penalty of not more than five hundred dollars {5500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 n I have and will maintain workers compensation, as reooired by Section 3700 of the Labor Code for the performance of the work for whrah this permit is issued My workers compensation insurance carrier and policy number are Insurance Co yj t& -4f-~~<* Policy No I i]lOj » Expiration Date a~ I ~fO This section need not be completed if the permit is for one hundred dollars ($100) or less CJ 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 as provided for in SectKjn) 3706 of the Labor code, interest and attorney's fees / / t\/?f/* fCONTRACTOR SIGNATURE i vi i i*wvciayc •inSecjKJn)3 DATE / hereby affirm that / am exempt from Contractors License Law for the following reason G 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 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) G 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 pioperty who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) G 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 G Yes G 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 / 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 / contractors 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 / type of work) x£f PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes Cl No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' G Yes G No IF ANY OF THE ANSWERS ARE YES. / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT ^fciaj v-^ 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 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 representative 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 Cl fY 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 permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stones 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 wgr>afjthanzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 06/05/2009 Permit* CB090720 Title BOARD&BREW-INSTALL 2 WALL Description SIGNS/ILLUMINATED Inspector Assignment 2675 GATEWAY RD 103 Lot Type SIGN Job Address Suite Location APPLICANT ULTRASIGNS Owner Remarks 2 SIGN FINALS Sub Type Phone 619954017 Inspector Total Time CD Description 38 Signs Act Comments Requested By JIM Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ELECTRICAL. ADVERTISING SPECIAL POWER OF ATTORNEY Ultrasigns, Inc a corporation organized and existing under the laws of the State of California, under contract # 799881, C45, with its principal office at 9025 Balboa Ave #150, in its capacity as Sign Manufacturing and Installation, hereby appoints Joseph Aliano who currently resides at 2061 Village Park Way #224, Encimtas, CA 92024, as its attorney in fact for the following purposes Apply for, execute, receive and perform all acts necessary to obtain electrical and sign permits and city business licenses on behalf of the company TERMINATION Unless sooner revoked or terminated by me, this Special Power of Attorney shall become NULL and VOID from and after April 24, 2010 IN WITNESS WHEREOF, I have hereunto set my hand this on day of W. GhassanY Hadaya Ultrasigns Inc, 9025 Balboa Avenue, Suite 150, San Diego, CA, 92123, 858-569-1400 COMPENSATION INSURANCE FUND PO BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 05-01-2009 GROUP POLICY NUMBER 1711028-2009 CERTIFICATE ID 787 CERTIFICATE EXPIRES 05-01-2010 05-01-2009/05-01-2010 SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 3Q days advance written notice to the employer We will also give you gg days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain the insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy \A<JTHORIZED REPRESENTATIVE^ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE ENDORSEMENT 016OO - JOHN HADAYA, P,S - EXCLUDED ENDORSEMENT #1600 - GUS HADAYA, T - EXCLUDED ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER ULTRASIGNS, INC 9025 BALBOA AVE STE 150 SAN 01EGO CA 92123 SD 2 051 PRINTED 04-17-2009 IS ' I BRESSI RANCH VILLAGE CENTER EL FUERTE AND GATEWAY STREET CARLSBAD. 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