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HomeMy WebLinkAbout2687 GATEWAY RD; ; CB081965; Permit10-21-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No CB081965 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title Applicant ENCORE IMAGE 303 W MAIN ST ONTARIO 91762 909 986 4632 2687 GATEWAY RD CBAD SIGN 2131910800 Lot* 0 $15,00000 Construction Type NEW STATER BROS- INSTALL 4 WALL SIGNS & 1 HANGING SIGN W/ELECTRIC Status Applied Entered By Owner ISSUED 10/21/2008 LSM Plan Approved 10/21/2008 issued 10/21/2008 Inspect Area 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 $16331 $000 $10615 $000 $2000 $000 $000 $000 $000 TOTAL PERMIT FEES $289 46 Total Fees $289 46 Total Payments To Date $289 46 Balance Due $000 Inspector FINAL APPROVAL Date 1—4 Clearance NOTICE Please take NOTICE ttrat approval of your project includes the "Imposgion of fees dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been Qiven a NOTICE similar to this, or as to which the statute of limitations las previously otherwise expired Gty of Carlsbad /03R 1635 Faraday Ave , Carlsbad, CA 92008 Si'^i^J ' 760-802-2717/2718/2719 «^|-^ Fax 760-602-8558 ^Jhr^ www carlsharica gov ^SaJJiii^'' Building Permit Application JOB ADDRESS ^ / CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS DESCRIPTION OFWORK Include Syiare Feet of Affected Area(s) /&*<?, *s 9 S,f^ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS ^ S^ecfctf/" DTD'S CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LlC # X Plan Check No. G&>G$\Qb^ 13 .__13 Est. Value IS, OOO r Plan Ck. Deposit Date 1® ( &• \ I rygf yO&V<sJ i SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUPf"i\~f\ ~rc£~ AJ&Q^> c~ 2.33.^Q s<a *=*• ^v^ CO PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME ,-gf.^.f. ._._ ^~ j^/*f C*&f^fc-- *^*s>/)-<al€. ADDRESS r^-J-•%&• ?al£ IA/ - frtrff**' S-v CITY^ / STATE ZIP P^-^V-/^/-^ FAX EMAIL STATE LlC # . CLASS CITY BUS LlC # (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 anphcant for such permit to file a signed statement that he islicensed 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 therefrom, and the basis for the alleged exemption Any violation ofSection 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration / /lerety affirm under penalty of perjury one of the following declarations 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 I have and will maintain wodtersLcompensation, as reqwed by Section.J3700 of the Labor Code, for the performance of the work for which this permit is issued My workers compensation insurance earner and policy number are Insurance Co fvgT|flt>JO<3fr fWg/£ * fl/&\M3£ry Policy No te ~7f3~ & ° ^ 3 Expiration Dale ^- " ~ " This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the work for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, danjatjesjrc provided fop/M'pction 370S of the Labor code, interest and attorney's fees £$ CONTRACTOR SIGNATURE DATE / <$ -£, / ~ O I hereby affirm that I am exempt from Contractor's License Law tor the 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 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) O 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 contractor(s) licensed pursuant to the Contractor's License Law) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Q Yes O 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) >£$"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 Act9 a Yes a No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' O Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site9 n Yes n No IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 hereby authorize representative of the City of Carfebad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST All LIABILFTIES, 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 s required for excavations over 5'0' deep and demolition or construction of structures over 3 stones m height EXPIRATION Every permit issued by the Building Official under the provisions of ths Code^hall expire by limitation and become null and void if the building or work authorized by such permit E not commenced within 180 days from the date of such permit or if the bui)ding"ry work authonzedJsfSuch peraffs 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 DATE City of Carlsbad Bldg Inspection Request For 01/26/2009 Permit* CB081965 Title STATER BROS- INSTALL 4 WALL Description SIGNS & 1 HANGING SIGN W/ELECTRIC Inspector Assignment 2687 GATEWAY RD Lot Type SIGN Sub Type Job Address Suite Location APPLICANT ENCORE IMAGE Owner Remarks Phone 9093764412 Inspector Total Time CD Description 38 Signs Act Comments Requested By FREDDIE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 2 Department of Consumer Affairs :fe^ ,"^ XJOV Contractors State License Board Contractor's License Detail - License # 896846 " DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations >' CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information ^ Per B&£_7071_17, only construction related civil judgments reported to the CSLB are disclosed %> Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration N> Due to workload, there may be relevant information that has not yet been entered onto the Board's license database License Number 896846 Extract Date 10/21/2008 Business Information Bonding ENCORE IMAGE INC P O BOX 9297 ONTARIO, CA 91762-9297 Business Phone Number (909) 986-4632 Entity Issue Date Expire Date License Status Classifications Corporation 05/19/2007 05/31/2009 This license is current and active All information below should be reviewed ..... . • CLASS I DESCRIPTION I C45 ELECTRICAL SIGNS • CONTRACTOR'S BOND | This license filed Contractor's Bond number 1045169 in the amount of $12,500 with the bonding company SURETY COMPANY OF THE PACIFIC Effective Date 04/15/2007 BOND OF QUALIFYING INDIVIDUAL This license filed Bond of Qualifying Individual number 1045170 for TERRY JOE WILKINS in the amount of $12,500 with the bonding company SURETY COMPANY OF THE PACIFIC Effective Date 04/15/2007 Workers' Compensation This license has workers compensation insurance with the PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY Policy Number PMAIWC104002700 Effective Date 09/28/2008 Expire Date 09/28/2009 http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 10/21/2008 ®©®(D©© ff> s £ P u o CO 5"Q. 1 5"3. 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