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Home My WebLink About2687 GATEWAY RD; 186; CB101716; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2010 Sign Permit Permit No: CB101716 Building Inspection Request Line (760) 602-2725 Job Address: 2687 GATEWAY RD CBAD St: 186 Permit Type: SIGN Status: ISSUED Parcel No: 2131911500 Lot#: 0 Applied: 09/17/2010 Valuation: $2,200.00 Construction Type: NEW Entered By: RMA Reference*: Plan Approved: 09/17/2010 PC#: Issued: 09/17/2010 Project Title: US MANK - SIGN ON FRONT WALL Inspect Area: ILLUMINATED CHANNEL LETTERS Applicant: Owner: ALCOA SIGNAGE STATER BROS MARKETS <LF> LNR CPI BRESSI RETAIL L PO BOX 150 301 S TIPPECANOE AVE 8535 ARJONS DR 92126 SAN BERNARDINO CA 92408 858549-1655 Building Permit $54.11 Add'l Building Permit Fee $0.00 Plan Check $35.17 Add'l Plan Check Fee $0.00 Electrical Fee $20.00 Renewal Fee $0.00 Add'l Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees ' $0.00 TOTAL PERMIT FEES $109.28 Total Fees: $109.28 Total Payments To Date: $109.28 Balance Due: $0.00 Inspector' * d?-~* FINAL A ^•S n»tfl- t( APPROVAL 1 dl 1 f r.lAqran^p' 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 thai 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, Building Permit Appli v^,^ 1635 Faraday Ave., Carlsbad, CA ^S? CITY OF 760-602-2717/2718/27 f"*ARI *\RAI~} Fax:760-602-8558V— •/"Yf\L.«JD*»L»/ www.carlsbadca.gov JOB ADDRESS CT/PROJECT* LOT* PHASE # # OF UNITS # BEDROOMS / K //<) 1 -7/ /ration Plan Check No. [ /) \i) \ / Ucanon "2-^ 92008 Est. Value /A «X r9 D 19 ^^ j, Plan Ck. Deposit [f'^/j-'Date ^?//'7 / (/T) SWPP SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME>« CONSTR. TYPE OCC. GROUP I/T. (PrWlC DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /J '*Sf J /->" * ~fi /? /S^&^Vf (^ "l EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY . ^ STATE ZIPf -. ._ Ji ^ fc f * Ci i i ) /« ^ *V 1/Vv OO v*. lA l-*p'i^-v PHONE _ FAX EMAIL PROPERTY OWNER NAME US UA^fci. ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 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^ i> C^- <^^^i^ PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY <S STATE ZIP so Cff ^^1^ PHONED FAX EMAIL ^ . / i | J STATE LIC.# *^ CLASS ~ CITY BUS. LIC.# (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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500}). 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. <0" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. W C. O O <f 5 O 5 *1 I I _ Policy No. &fl./r*Jt7£ •STftTf-: Expiration Date *.( f i~ 1 2 O I I _ This section need not be completed if the permit is for one hundred dollars ($100) or less. Lp 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 Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE SfAGENT DATE I hereby affirm that I am exempt from Contractor's License Law for 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). H 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). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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): 5.1 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 DAGENT 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 Act? d 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? G Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes D No 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 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, 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 SO' 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 .^APPLICANT'S SIGNATURE DATE UNSCHEDULED Development Services BUILDING Building Division \/ CITY OF IMQPPPTinM 1635 Faraday Avenue CARLSBAD INSP Bi carlsted™760-602-2700 DATE: lV\3-ll\- INSPECTOR: (YYl PERMIT #: \D\ OU p CONTACT: PHONE#: STJ JOB ADDRESS: ^(^^°) fiuJcCJU^bU 6d V DESCRIPTION: _ ti«s CODE DESCRIPTION ACT COMMENTS I* 0 Bldg Inspection Form Page 1 of 1 Rev. 06/09