HomeMy WebLinkAbout2712 GATEWAY RD; ; CB131993; Permit08-16-2013
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CB131993
Building Inspection Request Line (760) 602-2725
2712 GATEWAY RD CBAD
SIGN
0000000000 Lot #
$4,500 00 Construction Type
0
NEW
FORTISA'OGA LUX- INSTALL
ONE ILLUIVIINATED CHANNEL LETTER SIGN
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Q
ISSUED
08/16/2013
LSM
08/16/2013
08/16/2013
Applicant
WESTERN SIGN & AWNING
DBA STANFORD SIGN & AWNING
261 S PACIFIC ST
SAN MARCOS CA 92078
760 736 6070
Owner
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electncal Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$77 87
$0.00
$54 51
$0 00
$0 00
$0 00
$0 00
$31 00
$0 00
TOTAL PERMIT FEES $163 38
Total Fees $163 38 Total Payments To Date $163 38 Balance Due: $0.00
Inspector
FINAL APPRO,
Date Clearance
7 ^
NOTICE Please take NOTICE tjat approval of your project includes the "Imposition" cf fees, dedications, reservations, or otfier exactions tiereafter collectively
referred to as "fees/exactions" You tiave 90 days from ttie date ttiis permit was issued to protest imposition of ttiese fees/exactions If you protest ttiem, you must
follow ttie protest procedures set fortii in Government Code Section 66020(a), and file ttie protest and any ottier required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, sel aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
,•' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. nPLANNING •ENGINEERING •BUILDING QFIRE nHEALTH •HAZMAT/APCD
7^
<$,w7 CITY OF
(7 ADI CRAR L.AKLODAU'
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Plan Check No. OfK /'Sl*^ ^ 3>
Est. Value 4^00
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS n7]]t-
LOT# j fi4' SUITE#/SPACE#/UNIT#
CT/PROJECT # # BATHROOMS TfENANT BUSINESS NAIVIE
foft7i\^ V^^/v Ui^
CONSTR TYPE
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs)
EXISTINGUSE 4 , ^ PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESfltf NOj I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
T-'»''> A APPLICANTNAME (Secondary Contact;
ADDRESS
CITY STME CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
^rh^^J ^^^^ jw€.b7^je^ PROPERTY CONTRACTOR BUS. NAME
CITY ^ i T Z ' STATE / ^ ZIP ~r~
ADDRESS
PHONE.
EMAIL EMAIL
ARCH/DKIpNER NAwd & ADDRESS—, CITY BUS LIC#
(Sec 70315 Business and Professions Code Any Crty 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 tie 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' Compensaton Declaration / hereby affirm under penalty of perjury one of the following declarations
Bl 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 workers' compensajiprv^s requireiby Secton 3700 of the Labor Code, for the perfomiance of the work forjvhich this pemil is issued My workers' compensation insur|nce|ca{«|^r and policy
number are InsuranceCo fl^j^Q-f^l fT/C Policy No /lLl*^^fiXwvO I Expiration Date _
This section need not be completed ifthe perniit is for one hundred dollars ($100) or less
I I Certificate of Exemption I certify that in the perfonnance of the work for which this perniit 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damagejs^s provided for in Section 370/ of the Labor code, interest and attomey's fees
JS^ CONTRACTOR SIGNATURE ^giGENT DATE
/ hereby affirm (haf / am exempt from Contractor's bcense Law for the following reason
I I 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 7014, 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)
I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement I lYes •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 •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP __i,Yes • No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control distnct or air quality management distncf • Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site'' ^- Yes 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
I tiereby affirm that ttiere 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 ttiat ttie above inforniabon is conect and ttiat the infoimation on the plans is accuiate I agree to complywith all City ordinances and State lavs relabng to building constnicbon.
I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspecton 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 5'0' deep and demolition or constnicton of structures over 3 stones in height
EXPIRATION Eveiy pemnit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void i the building or wrk authonzed by such perniit is not commenced within
180 days from the date ofsuch permit or if the buildfigorwork authonzedby such aemilt is suspended or abandoned at any tme after the work is commenced Ibr a penod of 180 days (Section 106 4 4 Unifonn Building Code)
yfiS*APPLICANT'S SIGNATURE 'TXAA^/'^/^^'''^^ 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.
CERTIFICATE OF OCCUPANCY |Commercial
Fax (760) 602-8560, Email buildinofSicarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Cahfomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE STATE ZIP
Carlsbad CA
PHONE FAX
ElVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL TO:
MAIL/FAX TO OTHER
CONTACT (Listed above)
CONTRACTOR (On Pg 1)
OCCUPANT (Listed above)
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131993
Date Inspection Item
01/03/2014 38 Signs
01/03/2014 39 Final Electrical
01/02/2014 38 Signs
01/02/2014 39 Final Electncal
Type: SIGN FORTIS/YOGA LUX- INSTALL
ONE ILLUMINATED CHANNEL LETTER SI
Inspector Act Comments
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PY AP
PY AP
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