HomeMy WebLinkAbout2730 GATEWAY RD; ; CB130670; Permit03-18-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Sign Permit Permit No: CBI30670
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2730 GATEWAY RD CBAD
SIGN
2132632600 Lot# 0
$2,000 00 Construction Type 5B
PIZZA PORT
TWO NON ILLUMINATED WALL SIGNS
status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/18/2013
MDP
03/18/2013
03/18/2013
Applicant
FAST SIGNS
2070 HACIENDA DR
SUITE F
VISTA 92081
760-724-7071
Owner
MARSAGLIA PROPERTIES LLC
P 0 BOX 1697
CARLSBADCA 92018
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
$48 40
$0 00
$33 88
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
TOTAL PERMIT FEES $82 28
Total Fees $82 28 Total Payments To Date $82 28 Balance Due: $0.00
Inspector ^-^5
FINAL APR
Date
.PPRPV/ 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/exaclions" 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 nght to protest the specified tees/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 previouslv been given a NOTICE similar to thi.s. or as lo which the statute of limitations has previouslv otherwise expired
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax' 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
ROJECT # " |LOT# ' I PHASE # | # OF UNITS |#BEDRC
SUITE#/SPACE#/UNIT#
CT/PROJEC # BATHROOMS TENANT BUSINESS NAME CONSTJR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES •NOD
APPLICANT NAME (Pnmary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
STATE OA ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME ^
ADDRESfS ADDRESS
CITY STATE ZIP CITY
6^
STATE ZIP
(A
PHONE FAX PHONE FAX
EMAIL EMAIL
BUS LlCj^ ^
die
ARCH/DESIGNER NAME & ADDRESS
ten improve, demolish c (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alten 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 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 / hereby 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 tor which this permit is issued
^{^j'Tiiave 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 earner and policy
number are Insurance Co Tv^ \ tJ J-f fS-g \ Policy No Expiration Date 2.01 ^
This section need not be completed if the permit is for one hundred dollars ($100) or less
Policy No . Expiration Date _
O 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 attomey's fees.
CONTRACTOR SIGNATURE ^^^^^^CT^ OAGENT DATE
/ hereby affirm that I am exempt from Contractor's Ucense Law for the following reason
n 1, 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 tor 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)
• 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)
• 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 Yes • 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, supen/ise 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 • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' • Yes ONo
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
1 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
MS
I cerbly that I have read the application and state thatthe above infomiation isconectandthatthe infonnataon on the plansisaccurate I agiee to comply with all City ordinances and State laws lelatangto building construcbon
I hereby authonze representative of the City of Carlsbad to enter upon the above mentoned property for inspection puiposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF GARLSBAD
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 perniit IS required for excavations over 5'0' deep and demolibon or constnicbon of structures over 3 stones in height
EXPIRATION Eveiy perniit issued by the Building Official under the provisions of this Code shall expire by limitaton and become null and void if Ihe building or wor1< authonzed by such pemiit is not commenced within
180 days from the date of such pennit or if the building or woi1( authonzed by such pemiit is suspended or abandoned at any tme after the work is commenced for a penod of 180 days (Secton 10644 Unifonn Building Code)
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.
F I C A T I c c u F A!N c • e c t s O n f y J
Fax (760) 602-8560, Email wm buildinq@.carlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
n CONTRACTOR (On Pg 1)
• MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
• MAIL / FAX TO OTHER:
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
.eS'APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB130670 Type: SIGN PIZZA PORT
TWO NON ILLUMINATED WALL SIGNS
Date Inspectionjtem Inspector Act Comments
08/01/2013 38 Signs - Rl
08/01/2013 38 Signs MC Fl PER PLAN
Friday, August 02, 2013 Page 1 of 1