HomeMy WebLinkAbout2741 Gateway Rd; ; CB163535; PermitPrint Date: 10/11/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2741 Gateway Rd
BLDG-Commercial
2131210200
$10,000.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www .carlsbadca.gov
Work Class: Sign Status:
Lot#: Applied:
Reference #: Issued:
Construction Type: Fina led:
Bathrooms: Inspector:
Orig. Plan Check#:
Plan Check#:
Description: SIGN -SHELL GAS STATION: REPLACE 3 3 CANOPY SIGNS, REFACE MONUMENT SIGNS WITH LED
Total Fees: Total Payments To Date: Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CB163535
Closed -Finaled
09/15/2016
09/15/2016
••
•' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH 0HAZMAT/APCD
C_cityof
Carlsbad
JOB ADDRESS
't. ~""' CT/PROJECT #
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/UNITI
# OF UNITS # BEDROOMS # BATHROOMS
Plan Check No. c.J.s \.6 s S ~s
Est. Value { O 000
Plan Ck. Deposit
Date (~ I (o
APN
SWPPP
CONSTR. TYPE CCC. GROUP
FIRE SPRINKLERS
YES0 N~
CLASS CITY BUS. UC.#
C..4r'
(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 the applicant 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 the
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' Compensation Declaration: I hereby affirm under penalty of perju,y one of the following declarations:
D 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.
~ave and will maintain worke 'compensation, as required by Section 3700 of the Labor Code, for the perform~ the work for which this permit is issued. My workers' compensation in ra rrier and policy
number are: Insurance Co. C Policy No. ~~ ':IO& Cf~ Expiration Date •
This section need not be completed ~ rmit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Cal~omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Sectio de, interest and attorney's fees .
.1$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contrac/ots License Law for the following reason:
D
D
D
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 himseff 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 Contracto(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. D Y es 0 No
2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work):
.1$ PROPERTY OWNER SIGNATURE 0AGENT DATE
'
Is lhe 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 lhe
Presley-Tanner Hazardous Substan:e Account Acfl a Yes ~No
Is lhe applicant or future building occupant required to obtain a permit from lhe air pollution control district or air ~alily management district?
Is lhe facility to be constructed wilhin 1,000 feet of the outer boundary of a school site? a Yes ~o
a ves iftNo
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 AJR POLLUTION CONTROL DISTRICT.
I certlfythatl have read the application and state that the above information is oonectand that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I herel7f au1horize reire,enlative of the City of~ k> enter upon the aoove menooned ~ l:lr rnpecoon !XJrJX)SeS. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL$BA.D
AGAINST A1.1 L.IABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA perm~ is requied for excavations over 5'0' deep and demoooon or coostrudion of slructures over 3 stolies n height.
EXPIRATION: Every permij issued by the Ellilding Offcial under the P'()l,isiJns of this Code shall expire by lin~tion .m berome nul .m 'loi:l W the txJikl119 or v.oik aulhonzed by sud1 pemit is not oormienced ~
100days rom thedateofsudl permijoriflhe :idllQ orv.oikauthorizedbysudl pe,_s:-n:s:taiytme ~thev.oikisamnenced l:lraperodof 1 days(Sedion 100.4.4 Unibm aJidllQ Code).
,,6$ APPLICANT'S SIGNATURE DATE 9
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP; o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO; o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER; ________________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATEDCB#------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
PERMIT INSPECTION HISTORY REPORT (CB163535)
Permit Type: BLDG-Commercial Application Date: 09/15/2016 Owner:
Work Class· Sign Issue Date: 09/15/2016 Subdivision:
Status: Closed -Finaled Expiration Dato: 04/09/2018 Address: 2741 Gateway Rd
IVR Number: 717127
Carlsbad, CA
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
10/11/2017 10/11/2017 BLDG-38 Signs 037219-2017 Passed Andy Krogh Complete
BLDG-Final 037218-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
October 11, 2017 Page 1 of 1