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HomeMy WebLinkAbout2741 GATEWAY RD; ; CB130828; Permit03-29-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB130828 Building Inspection Request Line (760) 602-2725 Job Address. Permit Type' Parcel No Valuation Reference # PC# Project Title 2741 GATEWAY RD CBAD SIGN 2131210200 Lot#- $3,000 00 Construction Type' 0 NEW BRESSI RANCH FUEL MART- MOVE ONE WALL MOUNTED ILLUMINATED SIGN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/29/2013 LSM 03/29/2013 03/29/2013 Applicant BRESSI RANCH FUEL MART LLC ROBY OGAN 2741 GATEWAY RD CARSLBAD 92009 858-344-1787 Owner' BRESSI RANCH FUEL MART LLC P O BOX 456 RANCHO SANTA FE CA 92067 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 $58.27 $0.00 $40 79 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $99 06 Total Fees $99 06 Total Payments To Date $99.06 Balance Due: $0.00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your proiect mcludes ttie "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 Govemment 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 plannmg, zoning, gradmg 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buidllng@carlsbadca.gov www carlsbadca.gov Plan Check No. (2J&> / '30 SOJS Est. Value Plan Ck. Deposit Date SWPP ROJECT # |LOT# ~ WASE # |# OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# CT/PROJEI # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIP'nON OF WORK: /nc/ude Square Feet of Affected Area(s) m^t oi^e ujfH^ ^^'T '^"^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPLICANT^AME (Primary Coi APPLICANTNAME (Secondary Contact) ry i;ontact) -\ ADDREi ADDRI CITY I T', I FAX CITY STATE ZIP PHONE PHONE EMAIL EMAIL FAX PROPERTY OWNtlftNABlE* CONTRACTOR BUS. NAME ADDRESS ADDRESS 4^ CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# (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 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 ofthe follomng declarations O 1 have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued O 1 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 Policy No Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less n 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 employerto 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. JS^ CONTRACTOR SIGNATURE •AGENT DATE / hereby affirm ftef / am exempf from Contractor's License Law lor the follomng reason 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) • 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 exempi 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 • Yes • No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted^ittyfhe following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number) 4 I plan to prowKpojIfons of \he/ipiywt ijhave hired the tollowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will pmy[!jfi^^p(jl^ejliojirfi^^^?ooniiactei^\ied) the tollowing 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 materials registration form or nsk managemient and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf • Yes (3 No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf • Yes O No Is the facility to be constructed within I.OOOfeetoftheouterboundaryofaschoolsite'' CJYes • 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 hereby affirm that there is a construction lending agency for the perfonnance of the work this permit is issued (Sec 3097 (I) Civil Code) Lender's Name Lender's Address I cerb^ that 1 have read the applicabon and state thatthe above information is consct and ttiat the infomiation on the plans is accurate I agree to complywith all City ordinances and State laws relating to building consfrucbon. I hereby authonze representative of the Cily of Carisbad to enter upon the above mentioned properly for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARIVILESS THE CITY OF CAfa.SBAD 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 peimit is required for excavatons over 5'0' deep and demolition or constaicton of stuctures over 3 stones in height EXPIRATION Eveiy pemnit issued by the Building (Dflicial undfer theprovisions of this Code shall expire by limitaton and become null and void if the building or wori( authonzed by such peimit is not commenced within 180 days from the date of such pemiit or if ttfe bu?ding otym auronZed by such peimit is suspended or abandoned at any tme after the wort( is commenced for a penod of 180 days (Secton 10644 Uniform 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. R T i F I C A T i c y I c o Fax (760) 602-8560, Email www buildinq(a)carlsbadca gov or Mail 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 FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL TO: o 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 Permits: CB130828 Type: SIGN BRESSI RANCH FUEL MART- MOVE ONE WALL MOUNTED ILLUMINATE Date Inspection Item Inspector Act Comments 04/16/2013 38 Signs - Rl 04/16/2013 38 Signs MC Fl PER REVISED PLAN LOCATION/DESIGN Wednesday, April 17, 2013 Page 1 of 1