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HomeMy WebLinkAbout2794 GATEWAY RD; ; CB163933; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-18-2016 Sign Permit Permit No: CB163933 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2794 GATEWAY RD CBAD SIGN 2133001100 Lot#: $1,500.00 Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: SIGN CONCEPTS 18251 GOTHARD ST STEPHENS: INSTALLATION OF 46 SF ILLUMINATED WALL SIGN HUNTINGTON BEACH CA 92648-1224 714-887-7100 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: NEGMLLC 2794 GATEWAY RD CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 10/18/2016 SF 10/18/2016 10/18/2016 $34.11 $0.00 $23.88 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $92.99 Total Fees: $92.99 Total Payments To Date: $92.99 Balance Due: ~r ( FINAL APPROVAL,. Inspector: Date: :~> J / __ \~ Clearance: $0.00 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/exacti?JlS ""vou 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. THE FQeLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG OFIRE 0HEALTH 0HAZMAT/APCD ~ I? · (_ City of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. C°B('==,'sq~ 3 Est. Value I CSo--0 Carlsbad Plan Ck. Deposit Date 1 <:::. 1~ 1(6 SW PPP OB ADDRESS SUITE#/SPACEt/UNIT# APN Z..1C1 CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. lYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) In~~ llidi'oY\ 11\,L.iJ '1. b S EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESO _ NoCJ YEs O NoD vESO NoO APPLICANT NAME !\it 'I ftk.e.,.,.J PROPERTY OWNER z.ra,-ADDRESS ZIP CITY STATE ZIP qi,.~3 FAX PHONE FAX -U,/ COvt5u/f 1111 EMAIL 1'1c..cow-, DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (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 ttiat he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 or Division 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Wor1ters' Compensation Declaration: I hereby affirm under penally of perjury 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, tor the performance of the wor1< for which this permit is issued. ~e and will maintain wor1ters' compensation, as required by Section 3700 of the Labor Code, for the performance of the won< for which this permit is issued. My wor1<ers' compensation insurance carrier and policy number are: Insurance Co. rllvt{ l/: Pro Cet (., ~ Policy No. l/£3 -I z. t.{ ~ l,.,f 'f '{'{ -lb Expiration Date e~ let I 11 This section need not be completed ff the permit is for one h ndred ollars ($100) or less f 1 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 lo become subject lo the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure wor1ters' 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.aryrovided for in S~ 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~ ~ [ZJ'AGENT • I hereby affirm that I am exempt from Contractors 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 won< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himse~ 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 Contractors 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 Contractors License Law}. I am exempt under Section Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have I have not} signed an application for a building permit for the proposed wor1<. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired the following person lo coordinate, supervise and provide the major wor1< (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 wor1<): ~ PROPERTY OWNER SIGNATURE 0AGENT 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 i:,esley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 certify that I have read the application and state that the above information Is correct and that the information on the plans is aa:urate. I agree to oomplywith all City ordinances and State laws relating to buildingoonstrudion. I hereby authorize representative of the City of Cat1sbad to enter upon the above mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permn is required for excavations <Ner 5'0' deep and demolition or cons1ruction of structures CNer 3 stories in height EXPIRATION: Every permn issued by the Building Official under the provisions of this Code shall expire by fimitation and become nua and void ff the building or worx authorized by such permn is not commenced \Whin 180 days from the date of such permn or ff the bui<l· worx au1horized by n is suspended or abandoned at any tine after the worx is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _.15 APPLICANT'S SIGNATUR 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. 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 ASSOCIATED CB#------------ o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE N•,/ " . · PERMIT INSPECTION HISTORY REPORT (CB163933) ""' '~ '. Permit Type. BLDG-Commercial Application Date: 10/18/2016 Owner: Work Class: Sign Issue Date: 10/18/2016 Subdivision: Status: Closed -Finaled Expiration Date: 09/18/2017 Address: IVR Number: 717769 Actual Scheduled Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 03/22/2017 03/22/2017 March 23, 2017 BLDG-38 Signs 017302-2017 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 017301-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul York COMMENTS Passed Paul York COMMENTS 2794 Gateway Rd Carlsbad. CA Reinspection Passed No Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1