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Home My WebLink About2675 GATEWAY RD; 101; CB121421; Permit07-30-2012 City of Carlsbad 1635 Faraday Av Garlsbad, CA 92008 Sign Permit Permit No: CB121421 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2675 GATEWAY RD CBAD St: 101 SIGN 2131911400 Lot#: $1,500.00 Construction Type: KASI-2 WALL SIGNS -1@ FRONT 1 @ BACK - ILLUMINATED 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/30/2012 RMA 07/30/2012 07/30/2012 Applicant: ATHENA PROPERTY MANAGEMET STE 250 41 CORPORATE PARK IRVINE CA 92506 949 398-8750 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 $37.75 $0.00 $26.42 $0.00 $30.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $94.17 Total Fees: $94.17 Total Payments To Date: $94.17 Balance Due: $0.00 Inspector: FINAL A Date: VAL 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/exactlons of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired. THEFOLLOWINGAPPROVALSREQUIREDPRiORTOPERMITISSUANCE: DPLANNING DENGINEERING nBUILDING DFIRE DHEALTH •HAZMAT/APCD Plan Check NO. (.^/^ I H^ Est. Value I ^C>t^ ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov v^wv>/.carlsbadca.gov ff^/^f^ Plan Ck. Deposit Date I. PejTOSlt SWPP JOB ADDRESS 'ROJECT # ILOT# ' 1 PHASE # I # OF UNIT: SUITE#/SPACE#/UNrr# CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ofAifetted Area(s; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NO • IHESS__ .. ^ APPUCANT NAME (Secoftdary Contact) ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL PROPER^OWNE^AMSJ!""'^^^^^^^^^""'''""''^^^^^ CONTRACTOR BUS. NAME CITY ' '. STATE ADDRESS FAX CITY STATE ZIP f^t^ ^^B-07TZ^ PHONE FAX EMAIL ^ .RCH/DESIGNER NAME & ADDRESS I STATE 1 EMAIL 5RES? T AR£H/DESIGNER NAME & ADDRE: CITY BUS. UC.# (Sec. 7031.5 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 ofthe Contractor's License Law (Chapter 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' C O M P E N $ A T I O N Workers' Compensation Declaration: / hereby alfinn under penalty d peijury one dthe Ibltowing dedaralions: O I have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemn It is issued. • I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Poiicy No. Fitniratinn Date Expiration Date . This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption; I certify that in the perfomiance 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' (^mpensation 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), I O Certificate California. WAivninu: r-aiiure to secure worxers' compensation coverage is uniawrui, ana snaii suDjea an employer lo cnmi addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attomey's fees vfif CONTRACTOR SIGNATURE nAGENT DATE N i R- B-ill t me R..•s'O e c i A.R ATi o:N. / henny affinn that I am exempt from Contrador's Ucense Law for the foltowing reason: w 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, provkled that such impmvements are not intended or offered for sale. If, however, the building or impiovement 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). • 1, 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 buikls or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). GK 1 am exempt under Section / Business and Professions Code for this reason: 1.1 pereonally plan to provide the major labor and materials for construction of the proposed properfy improvemenL S^es 13 No 2.1 (have / hav$ not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but 1 have hired the followiria.p^n to coonlinate, supen/ise and provkle the major work (Include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) thrfraljlwng persons to provide the work indicated (include name / address / phone / type of work): ^1 PROPERTY OWNER SIGNATURE iGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING P E R IW I T S ONLY 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 Act? • Yes O No Is the applicant or future buiWing occupant required to obtain a permit fhjm the air pollution control district or air quality management district? a Yes • No Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? OYes • 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 AGENCY I hereby affirm that there Is a construction lending agency for the perfbnmance of the work this penmit Is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the applteatkin and state that the above Inlbmiation Is conect and that the Infbmiation on the plans Is accurate. I agree to comply with all CHy ordinances and Stats laws relating to building oanstnjctk>n. I hereby authorize representative of the City of Carlsbad ID enter ugjtffte above mentroned property Ibr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPsiSEG WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required fbr excavations over 5'0' d^offid demolitbn or constmction of structures over 3 stories in height EXPiRATiON: Every pemnit Issued by the Building Ofllcial uoaeMne provisions of Ihis Code shall expire by limitatbn and become null and void if the buikJing or work aulhorized by such pemnit is not commenced wilhin 180 days from the date of such pemnit or if the buiUirawimil^uthorized by such pemiit is suspended or abandoned at any time alter the work is commenced for apeiiod of 180 days (Sectbn 106.4.4 Unifbmi Buikiing Code). >eS'APPLICANT'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. Fax (760) 602-8560, Email www.buildinQ@carlsbadca.gov or Mall 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 EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) n MAIL / FAX TO OTHER: • ASSOCIATED CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Pemim: CB121421 Type: SIGN KASI-2 WALL SIGNS -1@ FRONT 1 @ BACK - ILLUMINATED Cjate Inspection item Inspector Act Comments 08/02/2012 38 Signs - Rl 08/02/2012 38 Signs MC Fl PER PLAN Monday, August 06,2012 Page 1 of 1